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1881109981
ALEXY SHALE LAKE
MADISONVILLE, KY
NPI
1881109981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: KY 252824)
Enumeration Date
2017-12-11
Last Update Date
2018-06-16
Business Address
ALEXY SHALE LAKE CSW
1840 LANTAFF BLVD STE 100
MADISONVILLE, KY 42431-9403
Phone number: 270-601-4235
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Mailing Address
ALEXY SHALE LAKE CSW
PO BOX 250
KUTTAWA, KY 42055-0250
Phone number: 270-601-4235
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