Individual
JERRY RUSSELL MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
10730 MIDLAND TRAIL DRIVE, ASHLAND, KY 41102
(606) 928-0150
(606) 929-5965
Mailing address
2732 EAST DONNA DRIVE, ASHLAND, KY 41102
(606) 928-3520
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
KY-5104
KY
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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