Joni Reagan, LCSW
Social Worker, Clinical in Bloomington, IN. Individual provider (NPI-1).
NPI number1720200082
StatusActive
Last updated in NPPESDec 2, 2009
Details
- NPI
- 1720200082
- Entity type
- Individual (NPI-1)
- Name
- Joni Reagan
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2007
- Last updated
- Dec 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 34003739A | IN | Yes |
Practice location
1319 W Bloomfield RdBloomington, IN 47403-2000
Phone 812-337-0771 · Fax 812-353-6137
Mailing address
741 Pepperridge DrBloomington, IN 47401-9884
Phone 812-337-0771 · Fax 812-353-6137
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