Individual
NATHAN FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1332 W ARCH HAVEN AVE STE A, BLOOMINGTON, IN 47403-2078
(317) 430-0645
Mailing address
1332 W ARCH HAVEN AVE SUITE A, BLOOMINGTON, IN 47403
(317) 430-0645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007428A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34007428A
STATE OF INDIANA
IN
Enumeration date
12/31/2015
Last updated
12/31/2015
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