Individual
MARIA CARRASCO WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1320 S CORY LN, BLOOMINGTON, IN 47403-2848
(812) 325-1247
Mailing address
1320 S CORY LN, BLOOMINGTON, IN 47403-2848
(812) 325-1247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002384A
IN
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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