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1962043109
GARY DIXON
HOPKINSVILLE, KY
NPI
1962043109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 120531)
Enumeration Date
2019-09-30
Last Update Date
2020-01-02
Business Address
Mr. GARY DIXON CADC
509 W 9TH ST
HOPKINSVILLE, KY 42240-2133
Phone number: 270-886-1515
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Mailing Address
Mr. GARY DIXON CADC
509 W 9TH ST
HOPKINSVILLE, KY 42240-2133
Phone number: 270-886-1515
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