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1598023731
MISTY ROEDER
BOWLING GREEN, KY
NPI
1598023731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: KY 255040)
Enumeration Date
2012-04-25
Last Update Date
2020-07-31
Business Address
MISTY ROEDER
1312 WESTEN ST
BOWLING GREEN, KY 42104-3352
Phone number: 270-904-1072
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Mailing Address
MISTY ROEDER
1312 WESTEN ST
BOWLING GREEN, KY 42104-3352
Phone number: 270-904-1072
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