Organization
MARABAI ROSE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARABAI ROSE BECZKIEWICZ LCSW (TIN OWNER)
(812) 624-1864
Entity
Organization
Contact information
Practice address
4568 EAST STATE RD 45, BLOOMINGTON, IN 47408
(812) 624-1864
Mailing address
3405 N RUSSELL RD, BLOOMINGTON, IN 47408-9215
(812) 624-1864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007534A
IN
Other
Enumeration date
10/26/2016
Last updated
11/08/2016
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