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Individual

MR. BARTLEY ALLEN CAMBRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000109A
IN
101YM0800X
Mental Health Counselor
SW17800
FL
1041C0700X
Clinical Social Worker
149025042
IL
1041C0700X
Clinical Social Worker
Primary
34004012A
IN
1041C0700X
Clinical Social Worker
SW17800
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116999100
FL
Enumeration date
07/02/2007
Last updated
08/04/2025
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