Gwendolyn Elaine Bloomfield

NPI #1659927077 in Radcliff, Kentucky

Provider Information

NPI Number: 1659927077
Entity Type: Individual
Name: Gwendolyn Elaine Bloomfield
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 12, 2019
Last Updated: Aug 12, 2019

Practice Location

Address: 363 W LINCOLN TRAIL BLVD
City: Radcliff
State: Kentucky
ZIP Code: 40160-3302
Phone: (270) 352-1133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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