Individual
BRADLEY YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSW
Contact information
Practice address
2301 GOLDSMITH LN, LOUISVILLE, KY 40218-1018
(502) 262-2670
Mailing address
4313 BROWNSBORO GLEN RD, LOUISVILLE, KY 40241-4156
(502) 262-2670
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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