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Individual

JENNIFER LANHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
305 E M L KING AVE, SUITE A, LEBANON, KY 40033-1554
(270) 692-1466
Mailing address
468 W MAIN ST, LEBANON, KY 40033-1363
(270) 692-1466

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1211
KY

Other

Enumeration date
06/22/2009
Last updated
07/26/2009
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