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1164833034
BERNETTA SOUTHWOOD
JACKSON, KY
NPI
1164833034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: KY 252579)
Enumeration Date
2014-05-14
Last Update Date
2023-09-19
Business Address
BERNETTA SOUTHWOOD LCSW
3830 HIGHWAY 15 S
JACKSON, KY 41339-8675
Phone number: 606-666-7591
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Mailing Address
BERNETTA SOUTHWOOD LCSW
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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