Organization
MONROE COUNTY GOVERNMENT
Active
Other names
Monroe County Health Department Family Planning Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE DONCEEL SQUIRES CNM (CERTIFIED NURSE MIDWIFE)
(812) 349-7344
Entity
Organization
Contact information
Practice address
338 S WALNUT ST, BLOOMINGTON, IN 47401-3500
(812) 349-7343
(812) 349-7346
Mailing address
338 S WALNUT ST, BLOOMINGTON, IN 47401-3500
(812) 349-7343
(812) 349-7346
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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