Individual
JENNIFER E FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2700 RIVER CITY PARK RD, JEFFERSONVILLE, IN 47130-5989
(812) 282-1888
(812) 285-8392
Mailing address
2700 RIVER CITY PARK RD, JEFFERSONVILLE, IN 47130-5989
(812) 282-1888
(812) 285-8392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34003596
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8200069600
—
IN
Enumeration date
06/23/2005
Last updated
07/24/2007
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