Individual
JONI REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1319 W BLOOMFIELD RD, BLOOMINGTON, IN 47403-2000
(812) 337-0771
(812) 353-6137
Mailing address
741 PEPPERRIDGE DR, BLOOMINGTON, IN 47401-9884
(812) 337-0771
(812) 353-6137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003739A
IN
Other
Enumeration date
05/03/2007
Last updated
12/02/2009
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