Individual
MICHAEL JAMES PAUL BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
PO BOX 174, BLOOMINGTON, IN 47402-0174
(317) 225-7634
Mailing address
PO BOX 174, BLOOMINGTON, IN 47402-0174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011770A
IN
Other
Enumeration date
01/28/2025
Last updated
02/23/2025
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