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1528427929
LISA KING
JEFFERSONVILLE, IN
NPI
1528427929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-15
Last Update Date
2016-07-11
Business Address
-- LISA KING
3072 WOODED WAY
JEFFERSONVILLE, IN 47130-5993
Phone number: 502-689-1389
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Mailing Address
-- LISA KING
3072 WOODED WAY
JEFFERSONVILLE, IN 47130-5993
Phone number: 502-689-1389
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