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1952002651
SANDRA MIRACLE
CORBIN, KY
NPI
1952002651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-03-10
Last Update Date
2023-03-10
Business Address
SANDRA MIRACLE
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
SANDRA MIRACLE
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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