Individual
DEBORAH LYNN ACITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
445 S LANDMARK AVE, BLOOMINGTON, IN 47403-5004
(812) 353-3450
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9568
(812) 353-9318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
34000846A
IN
1041C0700X
Clinical Social Worker
Primary
34000849A
IN
Other
Enumeration date
12/16/2005
Last updated
10/16/2014
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