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1730519869
MIRANDA JO BURNETT
RADCLIFF, KY
NPI
1730519869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 5104)
Enumeration Date
2013-11-27
Last Update Date
2016-03-30
Business Address
-- MIRANDA JO BURNETT LCSW
1072 S DIXIE BLVD
RADCLIFF, KY 40160-1103
Phone number: 270-351-8166
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Mailing Address
-- MIRANDA JO BURNETT LCSW
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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