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1730853086
HEATHER MARY DIANA VAUGHN
BOWLING GREEN, KY
NPI
1730853086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 268883)
Enumeration Date
2021-08-02
Last Update Date
2021-08-02
Business Address
HEATHER MARY DIANA VAUGHN LCADC
1990 LOUISVILLE RD STE 110
BOWLING GREEN, KY 42101-1202
Phone number: 270-782-2100
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Mailing Address
HEATHER MARY DIANA VAUGHN LCADC
1990 LOUISVILLE RD STE 110
BOWLING GREEN, KY 42101-1202
Phone number: 270-782-2100
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