TERESA FORMAN

PRESTONSBURG, KY
NPI1770067076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-09-21
Last Update Date2018-09-21
Business Address
TERESA FORMAN
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
TERESA FORMAN
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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