Individual
JANA PIANTEDOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
777 S MAIN ST, CLINTON, IN 47842-2493
(765) 828-1003
Mailing address
5415 W COUNTY ROAD 300 N, SULLIVAN, IN 47882-7576
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33007179A
IN
1041C0700X
Clinical Social Worker
Primary
34011060A
IN
Other
Enumeration date
07/15/2021
Last updated
04/10/2024
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