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1790150787
LISA EWEN
LOUISVILLE, KY
NPI
1790150787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 5058)
Enumeration Date
2015-12-02
Last Update Date
2015-12-02
Business Address
-- LISA EWEN
32 EASTOVER CT
LOUISVILLE, KY 40206-2705
Phone number: 502-459-7086
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Mailing Address
-- LISA EWEN
32 EASTOVER CT
LOUISVILLE, KY 40206-2705
Phone number:
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