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1710049879
FRED GERALD HAMPTON
LOUISVILLE, KY
NPI
1710049879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 521)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
Mr. FRED GERALD HAMPTON LCSW
1425 STORY AVE
LOUISVILLE, KY 40206-1735
Phone number: 502-584-1369
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Mailing Address
Mr. FRED GERALD HAMPTON LCSW
1425 STORY AVE
LOUISVILLE, KY 40206-1735
Phone number: 502-584-1369
Copy
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