Individual
JENNIFER MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
607 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
(270) 881-9551
(270) 885-5871
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7346
KY
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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