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Organization

LEAH SINN IVERSEN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEAH SINN IVERSEN LCSW (LICENSED CLINICAL SOCIAL WORKER)
(812) 320-2017
Entity
Organization

Contact information

Practice address
518 N COLONY CT, BLOOMINGTON, IN 47408
(812) 320-2017
Mailing address
518 N COLONY CT, BLOOMINGTON, IN 47408-3012
(812) 320-2017

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/07/2020
Last updated
08/23/2024
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