Individual
JENNIFER LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
803 ALEXANDRIA PIKE, ANDERSON, IN 46012-2603
(765) 635-5917
Mailing address
803 ALEXANDRIA PIKE, ANDERSON, IN 46012-2603
(765) 635-5917
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009163A
IN
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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