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Individual

MRS. JENNIFER NICOLE LEE-WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
192 BACON CREEK RD, CORBIN, KY 40701-8639
(606) 526-1900
Mailing address
PO BOX 568, CORBIN, KY 40702-0568

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
08202012
KY
104100000X
Social Worker
4026
KY
1041C0700X
Clinical Social Worker
Primary
4026
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100331600
KY
Enumeration date
09/06/2012
Last updated
04/27/2021
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