Individual
MAKENA G HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S 9TH ST, RICHMOND, IN 47374-6230
(765) 935-5390
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009968A
IN
104100000X
Social Worker
99100080A
IN
Other
Enumeration date
08/24/2020
Last updated
12/01/2020
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