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1477686764
EDGAR NEEDHAM
LOUISVILLE, KY
NPI
1477686764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: KY 135970)
Enumeration Date
2007-03-14
Last Update Date
2014-06-04
Business Address
-- EDGAR NEEDHAM
4710 CHAMPIONS TRACE LN #107
LOUISVILLE, KY 40218-3495
Phone number: 502-589-8600
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Mailing Address
-- EDGAR NEEDHAM
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number: 502-589-8600
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