Individual
LEAH ELIZABETH VANBLARICUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 BUNTIN ST, VINCENNES, IN 47591-1320
(812) 885-3228
Mailing address
121 BUNTIN ST, VINCENNES, IN 47591-1320
(812) 885-3228
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
390200000X
IN
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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