Individual
PATRICIA MUYSKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 W KIRKWOOD AVE STE 222, BLOOMINGTON, IN 47404-6133
(812) 219-1314
Mailing address
715 N PLYMOUTH RD, BLOOMINGTON, IN 47408-3066
(812) 219-1314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003785A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34003785A
IN PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
04/13/2019
Last updated
12/03/2024
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