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Individual

BRIDGET LOUDERMILLK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2600 EXECUTIVE PARK NW, CLEVELAND, TN 37312-2705
(877) 258-8795
Mailing address
PO BOX 4, DUCKTOWN, TN 37326-0004
(423) 241-9543

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/10/2016
Last updated
08/10/2016
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