Individual
MRS. REGINA BRAMER WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
914 LILY CREEK RD STE 101, LOUISVILLE, KY 40243-2815
(502) 805-5858
Mailing address
1519 BAXTER AVENUE, LOUISVILLE, KY 40205
(502) 409-7181
(502) 409-7181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY1798
KY
Other
Enumeration date
08/19/2015
Last updated
03/03/2022
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