Individual
JENNA MICHELLE BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
530 BENTEE WES CT, EVANSVILLE, IN 47715-4037
(812) 401-1836
(812) 401-8013
Mailing address
530 BENTEE WES CT, EVANSVILLE, IN 47715-4037
(812) 401-1836
(812) 401-8013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011162A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200238820
—
IN
Enumeration date
03/18/2021
Last updated
06/26/2024
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