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Individual

AMY MARIE JAGGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4000 N DIXIE HWY STE 3, ELIZABETHTOWN, KY 42701-4650
(270) 505-4183
Mailing address
4000 N DIXIE HWY STE 3, ELIZABETHTOWN, KY 42701-4650
(270) 505-4183

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
161712
KY
171M00000X
Case Manager/Care Coordinator
KY

Other

Enumeration date
03/31/2021
Last updated
04/20/2026
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