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1699186296
RANDY SMALLWOOD
PRESTONSBURG, KY
NPI
1699186296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-05-16
Last Update Date
2014-05-16
Business Address
-- RANDY SMALLWOOD
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
-- RANDY SMALLWOOD
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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