Individual
CONSTANCE S MUKHERJEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1233 E MARIGOLD DRIVE, BLOOMINGTON, IN 47401-8989
(812) 322-4320
Mailing address
1233 E MARIGOLD DRIVE, BLOOMINGTON, IN 47401-8989
(812) 322-4320
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002199A
IN
Other
Enumeration date
05/13/2009
Last updated
06/23/2009
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