Individual
AMELIA MENDOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, PMH-C, CD/BDT
Contact information
Practice address
2613 E 3RD ST, BLOOMINGTON, IN 47401-5345
(812) 727-0134
(812) 245-1118
Mailing address
401 E ALLEN ST, BLOOMINGTON, IN 47401-5915
(812) 272-7278
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011813A
IN
374J00000X
Doula
—
—
Other
Enumeration date
04/18/2022
Last updated
03/31/2024
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