Individual
ADELAIDA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
1735 JEFFERSON ST, PADUCAH, KY 42001-2722
(270) 305-1883
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
260379
KY
1041C0700X
Clinical Social Worker
Primary
260379
KY
171M00000X
Case Manager/Care Coordinator
Primary
252056
KY
Other
Enumeration date
09/17/2016
Last updated
06/15/2026
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