Provider Information for 1265836456
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Mrs. ELIZABETH RUTH JONES LCSW
Other Names:Former Name:ELIZABETH RUTH SMITH LMSWSex: Female
NPI: 1265836456
Last Updated: 2019-01-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1265836456 | ||||||||
| Enumeration Date | 2014-10-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 614 HOPKINSVILLE, KY 42241-0614 United States Phone: 270-886-2205 | Fax:270-886-0392 | ||||||||
| Primary Practice Address | 2400 RUSSELVILLE RD GENESIS EAST HOPKINSVILLE, KY 42240-8095 United States Phone: 270-887-5697 | Fax:270-887-5849 | ||||||||
| Secondary Practice Address(es) | 3999 FORT CAMPBELL BLVD 607 HAMMOND PLZ | ||||||||
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