Individual
LAURA DAWN BLAHOUS-MANGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW ACSW
Contact information
Practice address
205 N COLLEGE AVE, SUITE 210B, BLOOMINGTON, IN 47404-3950
(812) 320-2493
(812) 332-2638
Mailing address
3526 S TUDOR LN, BLOOMINGTON, IN 47401-8761
(812) 320-2493
(812) 332-2638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003891A
IN
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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