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1558414755
WALTER LANE
PIKEVILLE, KY
NPI
1558414755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
-- WALTER LANE BA MHA
118 RIVER DR
PIKEVILLE, KY 41501-1597
Phone number: 606-432-3143
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Mailing Address
-- WALTER LANE BA MHA
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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