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1902053390
ROBERTA D MARDIS
LEXINGTON, KY
NPI
1902053390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
Ms. ROBERTA D MARDIS
627 W 4TH ST
LEXINGTON, KY 40508-1207
Phone number: 859-253-1686
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Mailing Address
Ms. ROBERTA D MARDIS
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1217
Phone number: 859-253-1686
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