Individual
REVA POYNTER CARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 CARNES LOOP, JAMESTOWN, KY 42629-6725
(270) 343-3909
Mailing address
148 CARNES LOOP, JAMESTOWN, KY 42629-6725
(270) 343-3909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1668
KY
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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