Individual
MS. CUTIA BACON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2700 WOODLAND AVE, LOUISVILLE, KY 40211-1755
(502) 640-6137
(502) 237-4092
Mailing address
2700 WOODLAND AVE, LOUISVILLE, KY 40211-1755
(502) 640-6137
(502) 237-4092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-2009
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100297140
—
KY
Enumeration date
12/16/2006
Last updated
10/21/2021
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