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Individual

MRS. JENNIFER HELEN DUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSC

Contact information

Practice address
6212 DEEP CREEK CT, PROSPECT, KY 40059-9344
(502) 290-8313
(502) 290-8305
Mailing address
6212 DEEP CREEK CT, PROSPECT, KY 40059-9344
(502) 290-8313
(502) 290-8305

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
KY

Other

Enumeration date
10/13/2006
Last updated
07/08/2007
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