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1487207817
LIZA PURMORT
COVINGTON, KY
NPI
1487207817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 118670)
Enumeration Date
2019-07-24
Last Update Date
2019-07-24
Business Address
LIZA PURMORT CADC
1717 MADISON AVE
COVINGTON, KY 41011-3330
Phone number: 859-360-0250
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Mailing Address
LIZA PURMORT CADC
1717 MADISON AVE
COVINGTON, KY 41011-3330
Phone number: 859-360-0250
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