Individual
MRS. GEORGETTE MARIE BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC MARRIAGE & FAMIL
Contact information
Practice address
1400 B BROWNS LANE, LOUISVILLE, KY 40207
(502) 721-7522
(502) 721-7556
Mailing address
1400 B BROWNS LANE, LOUISVILLE, KY 40207
(502) 721-7522
(502) 721-7556
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0010
KY
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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