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1548526049
SHELLY DENISE CHAMPAGNE
BOWLING GREEN, KY
NPI
1548526049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 3040)
Enumeration Date
2012-04-09
Last Update Date
2022-07-21
Business Address
SHELLY DENISE CHAMPAGNE LCSW
1300 ANDREA ST STE 205
BOWLING GREEN, KY 42104-3382
Phone number: 270-205-4585
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Mailing Address
SHELLY DENISE CHAMPAGNE LCSW
104 REYNOLDS RD
GLASGOW, KY 42141-1177
Phone number: 270-904-6567
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