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1790141059
ANDREA MATTINGLY
LOUISVILLE, KY
NPI
1790141059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-01-02
Last Update Date
2016-01-02
Business Address
-- ANDREA MATTINGLY CSP.RN
2210 TUCKER STATION RD
LOUISVILLE, KY 40299-4525
Phone number: 502-366-0705
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Mailing Address
-- ANDREA MATTINGLY CSP.RN
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number: 502-589-8600
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