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Individual

MARK ALLEN MONROE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
506 HOPKINSVILLE ST, GREENVILLE, KY 42345-1104
(270) 338-5211
(270) 338-1624
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
252195
1041C0700X
Clinical Social Worker
Primary
253917
KY

Other

Enumeration date
09/08/2016
Last updated
08/24/2020
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