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1689355216
IRVIN SOUTHWOOD
SOMERSET, KY
NPI
1689355216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: KY 1206172)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
IRVIN SOUTHWOOD CPSS
80 HIGHWAY 2227
SOMERSET, KY 42503-1562
Phone number: 606-485-4003
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Mailing Address
IRVIN SOUTHWOOD CPSS
80 HIGHWAY 2227
SOMERSET, KY 42503-1562
Phone number: 606-485-4003
Copy
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