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Individual

DR. JOSEPH HIRAM AFANADOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
650 JOEL DRIVE, BACH, FORT CAMPBELL, KY 42223-5349
(270) 798-8727
(270) 956-0180
Mailing address
650 JOEL DRIVE, BACH, FORT CAMPBELL, KS 42223-5349

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1479
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UPIN
VAD000
KY
Enumeration date
05/05/2009
Last updated
05/05/2009
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