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1120 Griffith Ave Owensboro KY 42301-2812 | |
| (270) 314-6760 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1120 Griffith Ave, Owensboro, Kentucky |
| Authorized Official Name and Position | Megan Castlen Houston (ADMINSTRATOR/OWNER) |
| Authorized Official Contact | 2703146760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1120 Griffith Ave Owensboro KY 42301-2812 Ph: (270) 314-6760 | 1120 Griffith Ave Owensboro KY 42301-2812 Ph: (270) 314-6760 |
| NPI Number | 1467964973 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 10/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467964973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3880 (Kentucky) | Primary |
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