Most Relevant Information
Provider Data
| NPI Number: | 1003390436 |
| Provider Name: | GERRY HEARN |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/21/2018 |
| Last Updated: | 09/21/2018 |
Provider Practice Location
2084 MAIN ST
WILLISBURG
KY
400788199
Practice Location Phone/Fax
| Phone: | 8593759200 |
| Fax: | 8593759202 |
Provider Mailing Location
PO BOX 188
WILLISBURG
KY
400780188
Provider Mailing Phone/Fax
| Phone: | 8593759200 |
| Fax: | 8593759202 |