Individual
MAUREEN KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
803 N MONROE ST, BLOOMINGTON, IN 47404-3321
(812) 332-1262
(812) 334-8464
Mailing address
803 N MONROE ST, BLOOMINGTON, IN 47404-3321
(812) 332-1262
(812) 334-8464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002965
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100462770A
—
IN
Enumeration date
05/16/2006
Last updated
03/18/2015
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