ANGELA BEANBLOSSOM

FORT KNOX, KY
NPI1487951893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34004306A)
Enumeration Date2011-02-21
Last Update Date2011-02-21
Business Address
-- ANGELA BEANBLOSSOM LCSW
289 IRELAND AVE MEDDAC BLDG 851 RM 9-40
FORT KNOX, KY 40121-5111
Phone number: 502-624-9006
Mailing Address
-- ANGELA BEANBLOSSOM LCSW
4329 W MOUNT CARMEL RD
SALEM, IN 47167-8258
Phone number: 812-472-3710