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Individual

MRS. PRISCILLA A. ENGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
1515 N MADISON AVE, ANDERSON, IN 46011-3453
(765) 298-1701
(765) 298-5825
Mailing address
8578 N 425 E, ALEXANDRIA, IN 46001
(765) 724-2831

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33004509A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2002341208
IN
Enumeration date
10/12/2006
Last updated
07/09/2007
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