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Individual

JILL DUDGEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3020 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9674
(270) 465-7424
(270) 465-7174
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782
(606) 678-5296

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1103
KY

Other

Enumeration date
05/11/2006
Last updated
04/16/2014
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