JACQUELYN BAINBRIDGE

JEFFERSONVILLE, IN
NPI1821402843
Entity TypeOrganization
Authorized ContactJACQUELYN BAINBRIDGE
Lpcc
502-445-8376
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: KY  LPCPCC00223151)
Enumeration Date2014-06-18
Last Update Date2015-11-18
Business Address
JACQUELYN BAINBRIDGE
30 PORTAGE PL
JEFFERSONVILLE, IN 47130-5782
Phone number: 502-445-8376
Mailing Address
JACQUELYN BAINBRIDGE
30 PORTAGE PL
JEFFERSONVILLE, IN 47130-5782
Phone number: 502-445-8376
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