Individual
SHAWNA D THOMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
400 PROFESSIONAL AVE, WINCHESTER, KY 40391-1147
(859) 744-4482
(858) 737-2426
Mailing address
1095 IROQUOIS DR, MOUNT STERLING, KY 40353-8133
(859) 498-8664
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2636
KY
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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