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1912623786
STEPHEN WHITE
ELIZABETHTOWN, KY
NPI
1912623786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
Mr. STEPHEN WHITE
907 N MULBERRY ST STE 200
ELIZABETHTOWN, KY 42701-2018
Phone number: 270-982-7372
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Mailing Address
Mr. STEPHEN WHITE
302 MANLEY AVE
VINE GROVE, KY 40175-1532
Phone number: 270-990-7694
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