Individual
BROOKE BUSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S 4TH ST, LOUISVILLE, KY 40203-2188
(502) 585-9911
Mailing address
901 S 4TH ST, LOUISVILLE, KY 40203-3205
(502) 585-9911
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
04/07/2022
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