Individual
JAIMEE FENWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
124 E MAIN ST, MUNCIE, IN 47305-2839
(765) 587-7311
Mailing address
124 E MAIN ST, MUNCIE, IN 47305-2839
(765) 587-7311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006062A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01512387
RAILROAD PTAN
IN
Enumeration date
05/27/2015
Last updated
09/24/2025
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