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1508135955
MARY JENNIFER STAMPER
LEXINGTON, KY
NPI
1508135955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 0920)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
-- MARY JENNIFER STAMPER ICADC
1589 HILL RISE DR
LEXINGTON, KY 40504-2588
Phone number: 859-977-2505
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Mailing Address
-- MARY JENNIFER STAMPER ICADC
313 LILAC CT
VERSAILLES, KY 40383-9292
Phone number: 859-333-0419
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