Individual
HEATHER JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-2728
Mailing address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-2728
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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