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1727 Sweeney St Ste 104 Owensboro KY 42303-3834 | |
(270) 929-1762 | |
(833) 812-0155 |
Full Name | |
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Speciality | Social Worker |
Location | 1727 Sweeney St Ste 104, Owensboro, Kentucky |
Authorized Official Name and Position | Jessica Mcfarling (OWNER) |
Authorized Official Contact | 2709291762 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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720 Se 1st St Evansville IN 47713-1104 Ph: (270) 929-1762 | 1727 Sweeney St Ste 104 Owensboro KY 42303-3834 Ph: (270) 929-1762 |
NPI Number | 1003408766 |
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Provider Enumeration Date | 02/04/2021 |
Last Update Date | 07/22/2021 |
Certification Date | 07/22/2021 |
Medicare PECOS PAC ID | 8123434578 |
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Medicare Enrollment ID | O20210309002225 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003408766 | NPI | - | NPPES |
Provider Name | Jessica Gayle Mcfarling |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518213008 PECOS PAC ID: 7517188030 Enrollment ID: I20141027002405 |
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