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1972919728
TESSA E BANTA
LOUISVILLE, KY
NPI
1972919728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: KY 1879)
Enumeration Date
2014-07-01
Last Update Date
2017-05-01
Business Address
TESSA E BANTA LPCC
950 S 1ST ST
LOUISVILLE, KY 40203-2202
Phone number: 502-585-9444
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Mailing Address
TESSA E BANTA LPCC
950 S 1ST ST
LOUISVILLE, KY 40203-2202
Phone number: 502-585-9444
Copy
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