Individual
MR. JOHN LAWRENCE EBLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.C.S.W., L.C.S.W.
Contact information
Practice address
839 AUTO MALL RD, SUITE H, BLOOMINGTON, IN 47401
(812) 334-1131
(812) 336-2925
Mailing address
6196 E STATE ROAD 46, BLOOMINGTON, IN 47401-9267
(812) 325-5843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001616A
IN
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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