Individual
JACOB MICHAEL BAMBENEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2015 MAXWELL AVE, EVANSVILLE, IN 47711-4359
(812) 422-7974
(812) 671-0627
Mailing address
2015 MAXWELL AVE, EVANSVILLE, IN 47711-4359
(812) 422-7974
(812) 671-0627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33013480A
IN
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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