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1811531635
DESTINY COMMODORE
LEXINGTON, KY
NPI
1811531635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KY 254489)
Enumeration Date
2019-11-05
Last Update Date
2022-06-14
Business Address
DESTINY COMMODORE LCSW
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686
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Mailing Address
DESTINY COMMODORE LCSW
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number:
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