Individual
CLARENCE J HETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1572 PLANK RD, JEFFERSONVILLE, IN 47130-4250
(812) 282-2522
(812) 282-3890
Mailing address
1572 PLANK RD, JEFFERSONVILLE, IN 47130-4250
(812) 282-2522
(812) 282-3890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002436A
IN
Other
Enumeration date
03/28/2007
Last updated
03/11/2008
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