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1972029841
KIMBRALEE KAY GOODPASTER
IRONTON, OH
NPI
1972029841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 141725)
Enumeration Date
2017-08-22
Last Update Date
2022-07-21
Business Address
KIMBRALEE KAY GOODPASTER CDCA
214 S 4TH ST
IRONTON, OH 45638-1610
Phone number: 740-532-3767
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Mailing Address
KIMBRALEE KAY GOODPASTER CDCA
214 S 4TH ST
IRONTON, OH 45638-1610
Phone number: 740-532-3767
Copy
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