Individual
AMANDA L KINNAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
91 W MOUND ST, NASHVILLE, IN 47448-7049
(812) 988-2258
(812) 988-2257
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006930A
IN
Other
Enumeration date
08/04/2010
Last updated
04/30/2014
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