Individual
KIRSTEN MARIE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1980 E WOODSMALL DR, TERRE HAUTE, IN 47802-4937
(812) 298-8888
Mailing address
5300 E MOYER DR, TERRE HAUTE, IN 47802-9163
(812) 264-3921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011619A
IN
Other
Enumeration date
11/10/2022
Last updated
04/24/2026
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