Individual
MRS. JEANNINE DAWN BLAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
9903 LEDGELAWN SPRINGS CT, LOUISVILLE, KY 40291-4150
(502) 541-7850
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-6196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5331
KY
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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