Individual
JESSICA MARIE MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4311 S HIGHWAY 27 STE 3, SOMERSET, KY 42501-6133
(859) 436-8403
Mailing address
438 N POPLAR ST, CAMPBELLSVILLE, KY 42718-1833
(270) 789-8584
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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