Individual
KYLIE L HARTPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1713 E 10TH ST, JEFFERSONVILLE, IN 47130-7100
(812) 258-0310
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009883A
IN
Other
Enumeration date
05/29/2019
Last updated
04/28/2025
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