JANE BURGESS WALLEN

LOUISA, KY
NPI1245258383
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  KY-1263)
Enumeration Date2006-07-17
Last Update Date2014-11-07
Business Address
-- JANE BURGESS WALLEN LCSW
60 PROFESSIONAL PARK DR
LOUISA, KY 41230-9644
Phone number: 606-638-4332
Mailing Address
-- JANE BURGESS WALLEN LCSW
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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