Individual
MISTY BLANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
1813 WILLOW ST STE 6A, VINCENNES, IN 47591-4279
(812) 882-0894
Mailing address
1813 WILLOW ST STE 6A, VINCENNES, IN 47591-4279
(812) 882-0894
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904008819
VA
1041C0700X
Clinical Social Worker
Primary
34007530A
IN
Other
Enumeration date
10/21/2012
Last updated
07/05/2018
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