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1831653369
SARA REBECCA BLACK
PADUCAH, KY
NPI
1831653369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KY 288759)
Enumeration Date
2019-01-29
Last Update Date
2024-06-17
Business Address
SARA REBECCA BLACK
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
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Mailing Address
SARA REBECCA BLACK
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
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