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1760624167
CARRIE KOONTZ
LEXINGTON, KY
NPI
1760624167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 3179)
Enumeration Date
2009-03-31
Last Update Date
2009-03-31
Business Address
-- CARRIE KOONTZ LCSW
3050 RIO DOSA DR
LEXINGTON, KY 40509-1540
Phone number: 800-968-6866
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Mailing Address
-- CARRIE KOONTZ LCSW
3050 RIO DOSA DR
LEXINGTON, KY 40509-1540
Phone number: 800-968-6866
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