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Mr. DASHAWN PASCAL AQUINO KY APSS

Individual Provider (NPI-1) Active

Peer Specialist

Provider Information

NPI Number
1053106682
Provider Type
Individual Provider (NPI-1)
Credentials
KY APSS
Status
Active

Contact & Location

Address
100 DIECKS DR, ELIZABETHTOWN, KY, 427012443
Phone
(270) 982-1244

Specialties & Taxonomies

Peer Specialist Primary License: KY #1213276

All Addresses

LOCATION

100 DIECKS DR

ELIZABETHTOWN, KY, 427012443

(270) 982-1244

MAILING

107 MELANIE LN APT 5

ELIZABETHTOWN, KY, 427012881

(270) 734-4560