Individual
YU-TING SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-5711
(812) 855-8447
Mailing address
2998 E AMY LN, BLOOMINGTON, IN 47408-4210
(812) 320-6308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
01/28/2010
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