Individual
JACQUELINE ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
1111 RING RD, ELIZABETHTOWN, KY 42701-4900
(270) 705-5010
(270) 706-5105
Mailing address
1111 RING RD, ELIZABETHTOWN, KY 42701-4900
(270) 706-5010
(270) 706-5105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
143531
KY
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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