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Individual

ELIZABETH WALDEN-FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
LIFESPRING HEALTH SYSTEMS, 535 COUNTRY CLUB ROAD, S.E., CORYDON, IN 47112
(812) 738-2114
Mailing address
482 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 333-8474
(812) 961-3804

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
IN
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
34010060A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19300000X
IN
Enumeration date
05/07/2019
Last updated
05/05/2024
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