Organization
INDIANA UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ENGLE LCSW (SOCIAL WORKER)
(812) 855-5711
Entity
Organization
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-5711
Mailing address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-5711
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
34002015A
IN
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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