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1861764011
SHANNON METCALF DERRICK
LOUISVILLE, KY
NPI
1861764011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KY 0949)
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
Mrs. SHANNON METCALF DERRICK LPCC
1100 E MARKET ST AFTERCARE PROGRAM
LOUISVILLE, KY 40206-1838
Phone number: 502-596-1323
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Mailing Address
Mrs. SHANNON METCALF DERRICK LPCC
1100 E MARKET ST AFTERCARE PROGRAM
LOUISVILLE, KY 40206-1838
Phone number: 502-596-1323
Copy
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