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Contact Information

JULIA L STATES, LICENSED CLINICAL SO
3219 NORTH MAIN
HAZARD, KY41702
 Phone: 606-487-8657
 Fax: 606-439-0931
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JULIA L STATES · (Female)

NPI Number 1730207002
Status Active
Credentials LICENSED CLINICAL SO
Entity Individual
Enumeration date 03/26/2007
Last updated 03/25/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 955
  • KY Medicaid 8200956
  • Other 000000043034 ANTHEM BC BS
  • Other 84421 MAGELLAN
  • Other 237158 MHN HMC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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