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Individual

MS. GENEIVIVE BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
638 E COLLEGE AVE STE B, STANTON, KY 40380-2363
(606) 318-3500
(606) 606-3503
Mailing address
638 E COLLEGE AVE STE B, STANTON, KY 40380-2363
(606) 318-3500
(606) 606-3503

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY1054
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100616050
KY
Enumeration date
08/30/2005
Last updated
08/20/2020
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