GEORGIA RENEA DOUGLAS

CORBIN, KY
NPI1518205400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-28
Last Update Date2013-01-28
Business Address
-- GEORGIA RENEA DOUGLAS BA
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
Mailing Address
-- GEORGIA RENEA DOUGLAS BA
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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