Amanda Barge MSW, LCSW

NPI 1003905738 - Counselor - 101Y00000X

NPI Details
NPI 1003905738
Gender Female
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
645 S ROGERS ST
BLOOMINGTON IN, 47403-2353, US
Phone (812) 339-1961
Fax (812) 339-8109
Business Location
645 S ROGERS ST
BLOOMINGTON IN, 47403-2353, US
Phone (812) 339-1961
Fax (812) 339-8109
Toxanomy
Taxonomy Code 101Y00000X
License State Indiana
License Number 34005212A
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According to our database, Amanda Barge MSW, LCSW NPI is 1003905738, taxonomy code is 101Y00000X and license number is 34005212A, license state is located at Indiana. Amanda Barge MSW, LCSW physically located at 645 S Rogers St, Bloomington IN, 47403-2353. NPI Number Amanda Barge MSW, LCSW has the Individual type.

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1003905738 NPI number is provided on an as is basis without warranty of any kind. 1003905738 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Barge MSW, LCSW are for informational purposes only.