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1932523222
CANDICE GROVES
HOPKINSVILLE, KY
NPI
1932523222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 2013-63)
Enumeration Date
2014-02-07
Last Update Date
2014-04-01
Business Address
-- CANDICE GROVES
3999 FORT CAMPBELL BLVD
HOPKINSVILLE, KY 42240-4929
Phone number: 270-886-2205
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Mailing Address
-- CANDICE GROVES
PO BOX 614
HOPKINSVILLE, KY 42241-0614
Phone number: 270-886-2205
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