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NPI Code Detail

MEDICARE: JACQUELINE BOARDMAN CSW

MEDICARE: JACQUELINE BOARDMAN CSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker255013KY

General Provider Information

NPI Number : 1437845351
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE BOARDMAN CSW
Provider Business Mailing Address
First Line : 1201 SAINT CHRISTOPHER DR
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7064
Country : US
Telephone Number : 606-388-2898
Fax Number :
Provider Business Practice Location Address
First Line : 1201 SAINT CHRISTOPHER DR
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7064
Country : US
Telephone Number : 606-388-2898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2023
Last Update Date : 06/17/2026

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Directions to “ JACQUELINE BOARDMAN CSW” Practice Location

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