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1598442519
TANITH JO WILSON
LEXINGTON, KY
NPI
1598442519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 267258)
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
Mrs. TANITH JO WILSON CADC
365 WALLER AVE STE 230
LEXINGTON, KY 40504-2924
Phone number: 859-319-2610
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Mailing Address
Mrs. TANITH JO WILSON CADC
365 WALLER AVE STE 230
LEXINGTON, KY 40504-2924
Phone number: 859-319-2610
Copy
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