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1932697398
ETHAN EDWARDS
BOWLING GREEN, KY
NPI
1932697398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
ETHAN EDWARDS LPCA
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number: 270-901-5000
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Mailing Address
ETHAN EDWARDS LPCA
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number: 270-901-5000
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