Individual
MASHAWNA CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
113 LOVERN ST, HAZARD, KY 41701-1773
(606) 910-4414
(606) 910-4382
Mailing address
113 LOVERN ST, HAZARD, KY 41701-1773
(606) 910-4414
(606) 910-4382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
253822
KY
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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