Individual
DAVID JOHN CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9250
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002533A
IN
Other
Enumeration date
12/01/2005
Last updated
11/21/2017
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