Individual
MANDI JO STUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 8TH AVE, TERRE HAUTE, IN 47804-4072
(812) 231-8177
(812) 231-8208
Mailing address
PO BOX 4323, 620 8TH AVENUE, TERRE HAUTE, IN 47804-0323
(812) 231-8323
(812) 231-8400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005296
IN
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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