Individual
AMY JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 US ROUTE 60, ASHLAND, KY 41102-9516
(606) 929-9155
Mailing address
PO BOX 11, ASHLAND, KY 41105-0011
(606) 929-9155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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