Individual
CHRISTY R L NORTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
727 MOUNT TABOR RD, SUITE C, NEW ALBANY, IN 47150-6951
(502) 724-0970
Mailing address
502 CREEK RD, JEFFERSONVILLE, IN 47130-5527
(502) 724-0970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005858A
IN
Other
Enumeration date
02/28/2010
Last updated
01/15/2020
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