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1730243767
MELISSA A HENDRICKSON
PADUCAH, KY
NPI
1730243767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
-- MELISSA A HENDRICKSON
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-444-3620
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Mailing Address
-- MELISSA A HENDRICKSON
1205 WILFORD ST
MAYFIELD, KY 42066-3415
Phone number:
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