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1689213761
JUSTIN WALDO
LEXINGTON, KY
NPI
1689213761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 5143)
Enumeration Date
2020-01-06
Last Update Date
2020-02-12
Business Address
JUSTIN WALDO LCSW
LEXINGTON VA MEDICAL CENTER 1101 VETERAN'S DRIVE
LEXINGTON, KY 40502
Phone number: 859-233-4511
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Mailing Address
JUSTIN WALDO LCSW
4051 WINNIPEG WAY
LEXINGTON, KY 40515-4631
Phone number: 859-457-1716
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