WILLIAM DAKOTA WALTERS

CORBIN, KY
NPI1699263418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: KY  174172)
Enumeration Date2018-04-26
Last Update Date2018-04-26
Business Address
WILLIAM DAKOTA WALTERS
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-526-9552
Mailing Address
WILLIAM DAKOTA WALTERS
615 MASTER ST APT B103
CORBIN, KY 40701-1096
Phone number: 606-627-4525
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