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1477033819
LAYNE NICOLE GRISSOM
PADUCAH, KY
NPI
1477033819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
Miss LAYNE NICOLE GRISSOM
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-444-3604
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Mailing Address
Miss LAYNE NICOLE GRISSOM
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-444-3604
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