Individual
MS. CAROL MICHELE SIDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1408 S WALNUT ST, SUITE A, BLOOMINGTON, IN 47401-5824
(812) 558-0317
Mailing address
PO BOX 3433, BLOOMINGTON, IN 47402-3433
(812) 588-0317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33006168A
IN
Other
Enumeration date
05/17/2016
Last updated
08/26/2016
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