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Individual

LAQUATA DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNSA

Contact information

Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Mailing address
1410 ROYALTON RD, SALYERSVILLE, KY 41465
(606) 349-3115
(606) 349-5121

Taxonomy

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

Other

Enumeration date
02/12/2008
Last updated
02/12/2008
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