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Organization
LAKE CUMBERLAND CHILDREN'S ADVOCACY CENTER
Active
Organization
LAKE CUMBERLAND CHILDREN'S ADVOCACY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA TRABISH EADS LCSW,BCD (EXECUTIVE DIRECTOR)
(270) 343-6922
Entity
Organization
Contact information
Practice address
427 SOUTH MAIN STREET, JAMESTOWN, KY 42629-0004
(270) 343-6922
(270) 343-6006
Mailing address
PO BOX 4, JAMESTOWN, KY 42629-0004
(270) 343-6922
(270) 343-6006
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
05/21/2007
Last updated
09/18/2007
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