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1255960118
TRACY LEMONT BROWN
ELIZABETHTOWN, KY
NPI
1255960118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 169332)
Enumeration Date
2020-04-03
Last Update Date
2020-04-03
Business Address
Mr. TRACY LEMONT BROWN LCADC
100 DIECKS DR
ELIZABETHTOWN, KY 42701-2443
Phone number: 270-982-1244
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Mailing Address
Mr. TRACY LEMONT BROWN LCADC
8217 CANDLEGLOW LN
LOUISVILLE, KY 40214-5622
Phone number: 502-271-8027
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