Individual
JONIKKA ELIZABETH VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1315 HILLCREST RD, BEDFORD, IN 47421-3023
(812) 279-3591
(812) 275-0787
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004954A
IN
Other
Enumeration date
10/02/2006
Last updated
03/28/2012
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