Individual
JENNIFER LEE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1216 OCTAVIAN CIR, LEXINGTON, KY 40517-3125
(859) 440-9574
Mailing address
2628 WILHITE CT, LEXINGTON, KY 40503-3327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259812
KY
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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