Individual
JENNIFER M WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2630 22ND ST, COLUMBUS, IN 47201-3702
(812) 375-3784
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010763A
IN
Other
Enumeration date
11/15/2023
Last updated
09/06/2024
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