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1811505548
JEFFREY THOMAS WYLIE
PADUCAH, KY
NPI
1811505548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 922)
Enumeration Date
2020-07-20
Last Update Date
2023-11-07
Business Address
JEFFREY THOMAS WYLIE LCSW
2204 KENTUCKY AVE
PADUCAH, KY 42003-3242
Phone number: 270-777-4490
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Mailing Address
JEFFREY THOMAS WYLIE LCSW
121 BYRON DR
PADUCAH, KY 42003-0963
Phone number: 270-556-8715
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