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1821480187
CECILIA BROCK
CORBIN, KY
NPI
1821480187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 0420)
Enumeration Date
2015-02-24
Last Update Date
2015-02-24
Business Address
-- CECILIA BROCK CADC
967 US HIGHWAY 25 W
CORBIN, KY 40701-4543
Phone number: 606-526-9348
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Mailing Address
-- CECILIA BROCK CADC
967 US HIGHWAY 25 W
CORBIN, KY 40701-4543
Phone number: 606-526-9348
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