JEFFREY TACKETT

MAYKING, KY
NPI1649264987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  6496)
Enumeration Date2005-09-01
Last Update Date2010-11-18
Business Address
Ms. JEFFREY TACKETT LCSW
3367 HWY 119 N
MAYKING, KY 41837
Phone number: 606-633-4439
Mailing Address
Ms. JEFFREY TACKETT LCSW
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761