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1700919081
STEPHEN MUDD
LOUISVILLE, KY
NPI
1700919081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 68)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
-- STEPHEN MUDD
600 S PRESTON ST
LOUISVILLE, KY 40202-1716
Phone number: 502-589-1100
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Mailing Address
-- STEPHEN MUDD
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number: 502-589-8600
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