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1699383943
KRISTIN TIEDEMAN
PRESTONSBURG, KY
NPI
1699383943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-07-22
Last Update Date
2020-07-22
Business Address
KRISTIN TIEDEMAN
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
KRISTIN TIEDEMAN
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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