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Individual

NOELL L ROWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
510 SPRING ST, JEFFERSONVLLE, IN 47130-3554
(812) 282-1888
(812) 285-8392
Mailing address
510 SPRING ST, JEFFERSONVLLE, IN 47130-3554
(812) 282-1888
(812) 285-8392

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1026
KY
104100000X
Social Worker
Primary
34002976A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000056294
ANTHEM GROUP
01
000000194075
ANTHEM
01
100386460
MEDICAID GROUP
IN
05
200108550A
IN
01
209754000
MAGELLAN
01
2444451000
PASSPORT GROUP
KY
01
2773554000
PASSPORT ADVANTAGE
KY
01
50704000
MAGELLAN GROUP
01
65927857
MEDICAID GROUP MD
KY
05
78903689
KY
01
800012454
MEDICARE RAILROAD
IN
05
8200059700
KY
01
CG3623
RAILROAD MEDICARE GROUP
IN
01
CK2274
RAILROAD MEDICARE GROUP
KY
01
P00416177
MEDICARE RAILROAD
KY
Enumeration date
06/28/2005
Last updated
12/09/2011
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