Individual
LYDIA M RODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
445 N CROSS POINTE BLVD, EVANSVILLE, IN 47715-4010
(812) 471-4611
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 471-4611
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
99099173A
IN
1041C0700X
Clinical Social Worker
Primary
34009879A
IN
Other
Enumeration date
06/15/2020
Last updated
12/14/2022
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