Individual
JAMIE A. WATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
Mailing address
207B FAIRGROUNDS RD, HARDINSBURG, KY 40143-2585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
257000
KY
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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