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1447090790
NICHOLAS ANTONIO INCLAN
LOUISVILLE, KY
NPI
1447090790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 275595)
Enumeration Date
2024-05-24
Last Update Date
2024-05-24
Business Address
Mr. NICHOLAS ANTONIO INCLAN MA
4205 SPRINGHURST BLVD STE 202
LOUISVILLE, KY 40241-6160
Phone number: 502-618-2060
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Mailing Address
Mr. NICHOLAS ANTONIO INCLAN MA
11896 TROTTINGHAM CIR
LOUISVILLE, KY 40299-4594
Phone number: 502-457-8298
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