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1669802575
PENELOPE BACK LENTZ
LOUISVILLE, KY
NPI
1669802575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY KY-0154)
Enumeration Date
2013-11-14
Last Update Date
2013-11-14
Business Address
-- PENELOPE BACK LENTZ LPAT
128 N CLIFTON AVE
LOUISVILLE, KY 40206-2402
Phone number: 502-468-5429
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Mailing Address
-- PENELOPE BACK LENTZ LPAT
128 N CLIFTON AVE
LOUISVILLE, KY 40206-2402
Phone number: 502-468-5429
Copy
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