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Organization

UNDER THE UMBRELLA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTY DUFFY PHD (DIRECTOR, CLINICAL PSYCHOLOGIST)
(812) 345-2570
Entity
Organization

Contact information

Practice address
1136 W 17TH ST STE B, BLOOMINGTON, IN 47404-3000
(812) 345-2570
Mailing address
1136 W 17TH ST STE B, BLOOMINGTON, IN 47404-3000
(812) 345-2570

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/08/2015
Last updated
06/08/2015
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