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1619528387
DARRYL D WALES
LOUISVILLE, KY
NPI
1619528387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 120003)
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
DARRYL D WALES CADC
2133 W MARKET ST
LOUISVILLE, KY 40212-1532
Phone number: 502-384-5807
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Mailing Address
DARRYL D WALES CADC
2133 W MARKET ST
LOUISVILLE, KY 40212-1532
Phone number:
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