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Individual

LAURA LEA DAVIS BROADWATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
914 E BROADWAY, LOUISVILLE, KY 40204-1037
(502) 587-8833
Mailing address
1121 RIDGE LINE DR, LOUISVILLE, KY 40207-4353
(502) 751-7708

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
KY

Other

Enumeration date
03/23/2015
Last updated
09/30/2024
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