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1396870804
LEREASA LYNNE PEDIGO
BOWLING GREEN, KY
NPI
1396870804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: KY 0272)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
LEREASA LYNNE PEDIGO CADC
822 WOODWAY ST
BOWLING GREEN, KY 42101-2771
Phone number: 270-901-5000
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Mailing Address
LEREASA LYNNE PEDIGO CADC
410 W MAIN ST
SCOTTSVILLE, KY 42164-1126
Phone number:
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