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1649264987
JEFFREY TACKETT
MAYKING, KY
NPI
1649264987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 6496)
Enumeration Date
2005-09-01
Last Update Date
2010-11-18
Business Address
Ms. JEFFREY TACKETT LCSW
3367 HWY 119 N
MAYKING, KY 41837
Phone number: 606-633-4439
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Mailing Address
Ms. JEFFREY TACKETT LCSW
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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