Provider Information for 1093468498
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ASHLEY BROOKE BRUMMETT LCSW
Sex: Female
NPI: 1093468498
Last Updated: 2023-08-28
Certification Date: 2023-08-28
Certification Date: 2023-08-28
Details
Name | Value | ||||||||
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NPI | 1093468498 | ||||||||
Enumeration Date | 2022-01-27 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 626 E 2ND ST PERRYVILLE, KY 40468-1096 United States Phone: 859-324-1978 | Fax: | ||||||||
Primary Practice Address | 626 E 2ND ST PERRYVILLE, KY 40468-1096 United States Phone: 859-324-1978 | Fax: | ||||||||
Secondary Practice Address(es) | 306 W MAIN ST STE 512 | ||||||||
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