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1538774914
LYNN MARIE RICHENDOLLAR
PADUCAH, KY
NPI
1538774914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 263781)
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
LYNN MARIE RICHENDOLLAR BIS, TCADC
148 S. NELSON PARK RD
PADUCAH, KY 42001-4200
Phone number: 270-908-2681
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Mailing Address
LYNN MARIE RICHENDOLLAR BIS, TCADC
349 E 3RD AVE
CALVERT CITY, KY 42029-7617
Phone number: 270-493-2939
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