Individual
MARIA RONCALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
645 N WALNUT ST, BLOOMINGTON, IN 47404-3846
(812) 336-3570
(812) 336-9010
Mailing address
PO BOX 11, BLOOMINGTON, IN 47402-0011
(812) 336-3570
(812) 336-9010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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