Organization
BLOOMINGTON CENTER FOR CONNECTION BENEFIT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY C MAKICE LCSW (DIRECTOR)
(812) 669-2227
Entity
Organization
Contact information
Practice address
315 W DODDS ST, BLOOMINGTON, IN 47403-2510
(812) 669-2227
Mailing address
315 W DODDS ST, BLOOMINGTON, IN 47403-2510
(812) 669-2227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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