Individual
KYLA DAWN CLAYCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1518 YORKSHIRE DR, ELIZABETHTOWN, KY 42701-9191
(270) 594-1199
Mailing address
427 FAIR AVE, ELIZABETHTOWN, KY 42701-1601
(270) 750-1156
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
256896
KY
Other
Enumeration date
06/05/2022
Last updated
06/05/2022
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