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1245258383
JANE BURGESS WALLEN
LOUISA, KY
NPI
1245258383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY KY-1263)
Enumeration Date
2006-07-17
Last Update Date
2014-11-07
Business Address
-- JANE BURGESS WALLEN LCSW
60 PROFESSIONAL PARK DR
LOUISA, KY 41230-9644
Phone number: 606-638-4332
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Mailing Address
-- JANE BURGESS WALLEN LCSW
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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