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1568295848
RONDAL ELLIS SCOTT
ELIZABETHTOWN, KY
NPI
1568295848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-22
Last Update Date
2024-08-22
Business Address
RONDAL ELLIS SCOTT Apss
429 E DIXIE AVE
ELIZABETHTOWN, KY 42701-1149
Phone number: 629-259-1120
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Mailing Address
RONDAL ELLIS SCOTT Apss
415 E DIXIE AVE
ELIZABETHTOWN, KY 42701-1162
Phone number: 270-723-5867
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