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1871754416
KATHLEEN PATTERSON JACKSON
LEXINGTON, KY
NPI
1871754416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 3044)
Enumeration Date
2008-06-17
Last Update Date
2008-06-17
Business Address
Ms. KATHLEEN PATTERSON JACKSON LCSW
627 W 4TH ST
LEXINGTON, KY 40508-1207
Phone number: 859-246-7483
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Mailing Address
Ms. KATHLEEN PATTERSON JACKSON LCSW
708 CENTRAL AVE
LEXINGTON, KY 40502-1710
Phone number: 859-983-1125
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