Individual
DEBORAH L GROSSNICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
831 DILLON DR, RICHMOND, IN 47374-8048
(765) 983-8000
(765) 983-8609
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
34005135A
IN
Other
Enumeration date
08/11/2006
Last updated
03/31/2015
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