Individual
A NICOLE KILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
3008 BEVCHER DR, MADISON, IN 47250-3863
(812) 265-1918
(812) 265-1828
Mailing address
720 N MARR RD, COLUMBUS, IN 47201-6660
(812) 314-3400
(812) 378-8367
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659333292
NPI
—
Enumeration date
04/06/2006
Last updated
07/08/2007
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