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Individual

JENNIFER LEE PAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
331 OLD CARDINAL DR, ELIZABETHTOWN, KY 42701-2781
(270) 300-4411
Mailing address
PO BOX 1794, ELIZABETHTOWN, KY 42702-1794
(270) 300-4411

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
105305
KY
106H00000X
Marriage & Family Therapist
2012-018
KY
106H00000X
Marriage & Family Therapist
887
KY

Other

Enumeration date
02/13/2007
Last updated
02/13/2017
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