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1669681656
SUSAN SOUTHERN
SHELBYVILLE, KY
NPI
1669681656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- SUSAN SOUTHERN
250 ALPINE DR
SHELBYVILLE, KY 40065-8880
Phone number: 502-633-5683
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Mailing Address
-- SUSAN SOUTHERN
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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