Individual
DENISE VANHORSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2068 LUCAS PKWY, LOWELL, IN 46356
(219) 690-7025
Mailing address
2068 LUCAS PKWY, LOWELL, IN 46356-2169
(219) 690-7025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005473A
IN
1041C0700X
Clinical Social Worker
SW14522
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000582642
BLUE SHIELD
IN
01
—
34005473
PROFESSIONAL LICENSE
IN
Enumeration date
02/21/2006
Last updated
11/21/2019
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