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1760929863
TIMOTHY WHITE
LOUISVILLE, KY
NPI
1760929863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 170586)
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
-- TIMOTHY WHITE TCADC
8311 PRESTON HWY
LOUISVILLE, KY 40219-5309
Phone number: 502-964-7147
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Mailing Address
-- TIMOTHY WHITE TCADC
8311 PRESTON HWY
LOUISVILLE, KY 40219-5309
Phone number: 502-964-7147
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