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Individual

BRANDON JARRETT ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
TCM

Contact information

Practice address
100 PAR LN STE 101, ELIZABETHTOWN, KY 42701-9059
(270) 312-2500
Mailing address
100 PAR LN STE 101, ELIZABETHTOWN, KY 42701-9059
(270) 312-2500

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
KY

Other

Enumeration date
12/29/2022
Last updated
12/29/2022
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