Individual
MS. AMANDA GRELLA SALATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
101 W KIRKWOOD AVE STE 249, BLOOMINGTON, IN 47404-0004
(317) 902-9550
Mailing address
101 W KIRKWOOD AVE STE 249, BLOOMINGTON, IN 47404-0004
(317) 902-9550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005443A
IN
Other
Enumeration date
01/05/2009
Last updated
07/21/2022
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