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KAYLA BROCK-PROVENCHER, CSW
CSW
Clinical Social Worker
NPI: 1922782507Individual
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
258016(KY)
Contact & Hours
- Address
- 10300 BROOKRIDGE VILLAGE BLVD STE 104
LOUISVILLE, KY 40291 - Phone
- (502) 785-4322
Quick Facts
- NPI
- 1922782507
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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