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1730481797
LIFEWORKS OF KENTUCKY LLC
LOUISVILLE, KY
NPI
1730481797
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Entity Type
Organization
Authorized Contact
JACK T FREESE
CEO
502-416-1968
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-11-24
Last Update Date
2010-11-24
Business Address
LIFEWORKS OF KENTUCKY LLC
1868 CAMPUS PL
LOUISVILLE, KY 40299-2305
Phone number: 502-416-1968
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Mailing Address
LIFEWORKS OF KENTUCKY LLC
1868 CAMPUS PL
LOUISVILLE, KY 40299-2305
Phone number: 502-416-1968
Copy
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