Individual
JEREMY JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 S LAUREL RD STE 109, LONDON, KY 40744-8304
(855) 591-0092
Mailing address
103 OHIO LN, LONDON, KY 40741-2026
(606) 657-7523
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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