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Individual

BAILEY LAUREN MORTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
120 SEARS AVE STE 205, LOUISVILLE, KY 40207-5072
(812) 455-5067
Mailing address
10623 MORAINE CIR APT 203, LOUISVILLE, KY 40223-3687
(812) 455-5067

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
287283
KY

Other

Enumeration date
09/15/2023
Last updated
09/15/2023
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