Individual
MRS. ELLEN HARDIN KAZLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
645 S ROGERS ST, BLOOMINGTON, IN 47403
(812) 339-1691
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(123) 391-6918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006908A
IN
Other
Enumeration date
05/20/2010
Last updated
02/12/2025
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