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1497594626
JODIE LYNN BIVENS
COLUMBIA, KY
NPI
1497594626
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Former Name
JODIE LYNN STEPHENS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: KY 201158986)
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
Mrs. JODIE LYNN BIVENS
1102 HEMLOCK CIR
COLUMBIA, KY 42728-1854
Phone number: 270-805-1417
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Mailing Address
Mrs. JODIE LYNN BIVENS
1102 HEMLOCK CIR
COLUMBIA, KY 42728-1854
Phone number: 270-805-1417
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