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1730834524
KIMBERLY MICHELLE DERRICKSON
LOUISA, KY
NPI
1730834524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-02-21
Last Update Date
2022-02-21
Business Address
KIMBERLY MICHELLE DERRICKSON PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
KIMBERLY MICHELLE DERRICKSON PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Copy
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