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1649944760
MIRANDA DEATON
LOUISVILLE, KY
NPI
1649944760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 255785)
Enumeration Date
2021-08-03
Last Update Date
2021-08-03
Business Address
MIRANDA DEATON LCSW
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-589-8600
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Mailing Address
MIRANDA DEATON LCSW
10401 LINN STATION RD STE 100
LOUISVILLE, KY 40223-3842
Phone number: 502-589-8600
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