JUSTIN DILLON WAFORD

LOUISA, KY
NPI1932831666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-06-30
Last Update Date2022-06-30
Business Address
JUSTIN DILLON WAFORD PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
JUSTIN DILLON WAFORD PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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