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1841601820
JUSTIN DEREK CONN
LEXINGTON, KY
NPI
1841601820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2014-05-13
Last Update Date
2018-08-28
Business Address
JUSTIN DEREK CONN
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Phone number: 859-253-1686
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Mailing Address
JUSTIN DEREK CONN
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686
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