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Individual

MRS. JENNIFER BOOTH COURTNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1925 FREDERICA ST STE 200, OWENSBORO, KY 42301-4818
(270) 926-2484
(270) 685-6015
Mailing address
300 HOPE ST, MT WASHINGTON, KY 40047-7757
(502) 538-1000
(502) 538-1100

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253869
KY
1041C0700X
Clinical Social Worker
7196
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100577710
KY
Enumeration date
01/05/2015
Last updated
02/28/2020
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