Individual
KAITLYN GRACE BRITTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 S VANN AVE, EVANSVILLE, IN 47714-1444
(812) 402-8333
(812) 402-8331
Mailing address
PO BOX 33, EVANSVILLE, IN 47701-0033
(812) 402-8333
(812) 402-8331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009878A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99099174A
—
IN
Enumeration date
06/19/2020
Last updated
02/29/2024
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