JEFFREY THOMAS WYLIE

PADUCAH, KY
NPI1811505548
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  922)
Enumeration Date2020-07-20
Last Update Date2023-11-07
Business Address
JEFFREY THOMAS WYLIE LCSW
2204 KENTUCKY AVE
PADUCAH, KY 42003-3242
Phone number: 270-777-4490
Mailing Address
JEFFREY THOMAS WYLIE LCSW
121 BYRON DR
PADUCAH, KY 42003-0963
Phone number: 270-556-8715
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