Individual
DESARAE S BRYMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 588-0800
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255643
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100737130
—
KY
Enumeration date
05/06/2021
Last updated
02/07/2025
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