Individual
KASSIDY MARIE MEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
350 S LANDMARK AVE, BLOOMINGTON, IN 47403-5001
(812) 332-9874
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33010309A
IN
1041C0700X
Clinical Social Worker
Primary
33010309A
IN
Other
Enumeration date
07/14/2021
Last updated
08/30/2021
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