Individual
LOLA ISABELLA MAHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1004 W 1ST ST, BLOOMINGTON, IN 47403-2208
(812) 489-2199
Mailing address
715 S HICKORY DR, BLOOMINGTON, IN 47403-1831
(251) 401-2273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011689A
IN
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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