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1811029622
MATTHEW J WAITKUS
LEXINGTON, KY
NPI
1811029622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-09
Last Update Date
2007-07-09
Business Address
Mr. MATTHEW J WAITKUS
627 W 4TH ST
LEXINGTON, KY 40508-1207
Phone number: 859-253-1686
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Mailing Address
Mr. MATTHEW J WAITKUS
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1217
Phone number: 859-253-1686
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