LEO WHITE

JACKSON, KY
NPI1750660205
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-08-15
Last Update Date2011-08-15
Business Address
-- LEO WHITE
3830 HIGHWAY 15 S
JACKSON, KY 41339-8675
Phone number: 606-666-7591
Mailing Address
-- LEO WHITE
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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