Individual
CATHERINE CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 N MONROE ST, BLOOMINGTON, IN 47404-3321
(812) 332-1262
Mailing address
920 S MANOR RD, BLOOMINGTON, IN 47401-5068
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33006820A
IN
Other
Enumeration date
03/01/2014
Last updated
03/01/2014
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