Individual
MS. JENA ELIZABETH WATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1813 WILLOW ST, SUITE 6A, VINCENNES, IN 47591-4276
(812) 882-0894
Mailing address
1813 WILLOW ST, SUITE 6A, VINCENNES, IN 47591-4276
(812) 882-0894
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002535
NC
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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