Individual
JESSICA TAYLOR HAWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 PRINCELAND DR, ASHLAND, KY 41102-9681
(606) 928-2963
Mailing address
12800 PRINCELAND DR, ASHLAND, KY 41102-9681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
173945
KY
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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