Individual
AUDREY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
409 MARQUETTE DR, LOUISVILLE, KY 40222-4719
(502) 785-5200
Mailing address
409 MARQUETTE DR, LOUISVILLE, KY 40222-4719
(502) 785-5200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
271888
KY
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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