Individual
KEVIN W FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438
Mailing address
1175 SOUTHVIEW DR, MARTINSVILLE, IN 46151-7062
(765) 342-6616
(765) 342-2169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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