KAYLA MARIE BROCK-PROVENCHER

LOUISVILLE, KY
NPI1922782507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  258016)
Enumeration Date2023-06-14
Last Update Date2023-06-14
Business Address
KAYLA MARIE BROCK-PROVENCHER CSW
10300 BROOKRIDGE VILLAGE BLVD STE 104
LOUISVILLE, KY 40291-4474
Phone number: 502-785-4322
Mailing Address
KAYLA MARIE BROCK-PROVENCHER CSW
10030 BROOKRIDGE VILLAGE BLVD SUITE 104
LOUISVILLE, KY 40291
Phone number:
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