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Individual

GINA LOUISE MCCLURE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2000 HOLIDAY LN, FULTON, KY 42041-8468
(270) 992-7158
Mailing address
2000 HOLIDAY LN, FULTON, KY 42041-8468
(731) 363-5334

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/20/2021
Last updated
10/20/2021
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