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1861928988
RAVEN ROE
LEXINGTON, KY
NPI
1861928988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-05-10
Last Update Date
2018-06-16
Business Address
RAVEN ROE
455 PARK PL STE 130
LEXINGTON, KY 40511-1830
Phone number: 859-276-0533
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Mailing Address
RAVEN ROE
455 PARK PLACE SUITE 130
LEXINGTON, KY 40511
Phone number:
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