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1487951893
ANGELA BEANBLOSSOM
FORT KNOX, KY
NPI
1487951893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004306A)
Enumeration Date
2011-02-21
Last Update Date
2011-02-21
Business Address
-- ANGELA BEANBLOSSOM LCSW
289 IRELAND AVE MEDDAC BLDG 851 RM 9-40
FORT KNOX, KY 40121-5111
Phone number: 502-624-9006
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Mailing Address
-- ANGELA BEANBLOSSOM LCSW
4329 W MOUNT CARMEL RD
SALEM, IN 47167-8258
Phone number: 812-472-3710
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