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1548301286
KEITH E BROCKMAN
LEXINGTON, KY
NPI
1548301286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 3012)
Enumeration Date
2007-02-08
Last Update Date
2007-07-09
Business Address
-- KEITH E BROCKMAN
3161 CUSTER DR
LEXINGTON, KY 40517-4067
Phone number: 859-253-1686
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Mailing Address
-- KEITH E BROCKMAN
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1217
Phone number: 859-253-1686
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