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Individual

JORDAN GUEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
448 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3594
(859) 338-0466
Mailing address
228 HARTLAND DR, DANVILLE, KY 40422-2906
(859) 319-1567

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259868
KY

Other

Enumeration date
12/19/2024
Last updated
02/03/2025
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