ROSCOE H STAMPER

JACKSON, KY
NPI1417260928
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-07-26
Last Update Date2010-07-26
Business Address
-- ROSCOE H STAMPER
3830 HIGHWAY 15 S
JACKSON, KY 41339-8675
Phone number: 606-436-5761
Mailing Address
-- ROSCOE H STAMPER
3830 HIGHWAY 15 S
JACKSON, KY 41339-8675
Phone number: 606-436-5761
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