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1629111968
DEBORAH A WALL
ELIZABETHTOWN, KY
NPI
1629111968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
-- DEBORAH A WALL
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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Mailing Address
-- DEBORAH A WALL
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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