Individual
CHASITI HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2325 Q ST, BEDFORD, IN 47421-4718
(812) 279-4673
Mailing address
2400 S BURBERRY LN, BLOOMINGTON, IN 47401-4519
(317) 702-6834
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
99073464A
IN
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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