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1821148438
THADDEUS MATTMILLER
LEXINGTON, KY
NPI
1821148438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KY 1524)
Additional Taxonomies
1041C0700X Social Worker, Clinical
Enumeration Date
2007-01-12
Last Update Date
2018-03-07
Business Address
THADDEUS MATTMILLER LCSW
1101 VETERANS DR
LEXINGTON, KY 40502-2235
Phone number: 859-233-4511
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Mailing Address
THADDEUS MATTMILLER LCSW
1101 VETERANS DR
LEXINGTON, KY 40502-2235
Phone number: 859-233-4511
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