BRANDON BUMBALOUGH

HAZARD, KY
NPI1497200562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: KY  168689)
Enumeration Date2016-08-18
Last Update Date2016-08-18
Business Address
-- BRANDON BUMBALOUGH
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
Mailing Address
-- BRANDON BUMBALOUGH
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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