Individual
MICHELLE BLOEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 E NAVAJO DR, VINCENNES, IN 47591-1920
(812) 887-4199
Mailing address
2325 E NAVAJO DR, VINCENNES, IN 47591-1920
(812) 887-4199
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
IN
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
02/15/2022
Last updated
01/23/2023
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