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1962184317
DANIEL JASON GOFORTH
CORBIN, KY
NPI
1962184317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-08-04
Last Update Date
2023-08-04
Business Address
DANIEL JASON GOFORTH
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
DANIEL JASON GOFORTH
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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