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1669079059
RUSSELL G HENDRICKS
SOMERSET, KY
NPI
1669079059
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Other Name
RUSTY G HENDRICKS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-10-08
Last Update Date
2020-10-08
Business Address
RUSSELL G HENDRICKS
259 PARKERS MILL RD
SOMERSET, KY 42501-3152
Phone number: 606-679-4782
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Mailing Address
RUSSELL G HENDRICKS
130 SOUTHERN SCHOOL RD
SOMERSET, KY 42501-3223
Phone number: 606-679-4782
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