Provider Information for 1518984335
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Mr. CURTIS ALAN DELOACH L.C.S.W.
Sex: Male
NPI: 1518984335
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1518984335 | ||||||||
| Enumeration Date | 2006-07-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 207 W MOUNT VERNON ST SUITE 100 SOMERSET, KY 42501-1673 United States Phone: 606-679-1528 | Fax:606-677-0867 | ||||||||
| Primary Practice Address | 207 W MOUNT VERNON ST SUITE 100 SOMERSET, KY 42501-1673 United States Phone: 606-679-1528 | Fax:606-677-0867 | ||||||||
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