Organization
NIKKIA OBANNON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKIA ELIZABETH O'BANNON LCSW (EMPLOYEE)
(812) 276-5030
Entity
Organization
Contact information
Practice address
519 V ST, BEDFORD, IN 47421-1925
(812) 276-5030
Mailing address
519 V ST, BEDFORD, IN 47421-1925
(812) 276-5030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/30/2023
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