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1497191068
CRYSTAL DAWN FARMER
RADCLIFF, KY
NPI
1497191068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KY 269884)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2013-05-22
Last Update Date
2021-04-27
Business Address
CRYSTAL DAWN FARMER LPCC
1072 S DIXIE BLVD
RADCLIFF, KY 40160-1103
Phone number: 270-765-2605
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Mailing Address
CRYSTAL DAWN FARMER LPCC
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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