RUSSELL DAVID MAYNARD

CORBIN, KY
NPI1407085921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-07-06
Last Update Date2009-07-06
Business Address
-- RUSSELL DAVID MAYNARD BA
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
Mailing Address
-- RUSSELL DAVID MAYNARD BA
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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