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Individual

AUDIE WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 FERRY ST STE B, LAFAYETTE, IN 47901-1172
(317) 574-1254
(317) 574-1230
Mailing address
200 FERRY ST STE B, LAFAYETTE, IN 47901-1172
(317) 574-1254
(317) 574-1230

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007678A
IN
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/23/2010
Last updated
05/22/2026
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