Organization
LEGACY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA R HOESMAN LCSW (TIN OWNER)
(812) 384-7318
Entity
Organization
Contact information
Practice address
8 S FRANKLIN ST, BLOOMFIELD, IN 47424-1405
(812) 384-7318
Mailing address
4183 W GRAND AVE, BLOOMINGTON, IN 47404-4816
(812) 384-7318
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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