DALE EDWARD HACKWORTH

LOUISA, KY
NPI1538821194
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2021-10-12
Last Update Date2021-10-12
Business Address
DALE EDWARD HACKWORTH PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
Mailing Address
DALE EDWARD HACKWORTH PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938