Individual
LEAH ELIZABETH SINN IVERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
518 N COLONY CT, BLOOMINGTON, IN 47408-3012
(812) 320-2017
Mailing address
518 N COLONY CT, BLOOMINGTON, IN 47408-3012
(812) 320-2017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33006582A
IN
Other
Enumeration date
07/06/2020
Last updated
08/23/2024
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