Individual
MRS. WOUTERA NIJDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-8447
Mailing address
2712 BRIGS BND, BLOOMINGTON, IN 47401-4402
(812) 333-8751
(812) 333-8751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33004946A
IN
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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