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1861535635
TRACY MONIQUE WATHEN
ELIZABETHTOWN, KY
NPI
1861535635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 252190)
Enumeration Date
2007-02-14
Last Update Date
2016-08-19
Business Address
-- TRACY MONIQUE WATHEN LCSW
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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Mailing Address
-- TRACY MONIQUE WATHEN LCSW
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
Copy
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