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1811165970
LAQUATA DANIEL
PRESTONSBURG, KY
NPI
1811165970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-02-12
Last Update Date
2008-02-12
Business Address
-- LAQUATA DANIEL CNSA
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
-- LAQUATA DANIEL CNSA
1410 ROYALTON RD
SALYERSVILLE, KY 41465
Phone number: 606-349-3115
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