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1538821194
DALE EDWARD HACKWORTH
LOUISA, KY
NPI
1538821194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
DALE EDWARD HACKWORTH PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
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Mailing Address
DALE EDWARD HACKWORTH PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
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