Organization
CATHERINE CRANDALL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE CRANDALL LCSW (TIN OWNER)
(812) 727-5218
Entity
Organization
Contact information
Practice address
4658 E. STATE RD. 45, BLOOMINGTON, IN 47408-9644
(812) 797-5218
Mailing address
920 S MANOR RD, BLOOMINGTON, IN 47401-5068
(812) 727-5218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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