Individual
SARAH JANE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
335 N MAIN ST, BARBOURVILLE, KY 40906-1445
(606) 545-7083
Mailing address
335 N MAIN ST, BARBOURVILLE, KY 40906-1445
(606) 260-0401
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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