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Individual

ELIZABETH CONDRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 S JOHN F KENNEDY AVE, LOOGOOTEE, IN 47553-1624
(812) 295-3090
(812) 295-4328
Mailing address
PO BOX 556, VINCENNES, IN 47591-0556
(812) 494-9501
(812) 494-9502

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33013365A
IN

Other

Enumeration date
09/18/2025
Last updated
10/13/2025
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