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Search › Indiana › 1041C0700X

Brandy Russell-Mervosh, LCSW

NPI 1275504623 · on the registry since 2006 · sole proprietor

Practice

Address
901 S Rogers St
Bloomington, IN 47403
Phone
(812) 323-9890
Fax
(812) 829-2596
Organisation at this address
Diana Kan Llc
Karen Brosius Llc
Parenting Plus, Inx
Angela R Marshall Psyd Llc
Haven'S Holistic Healing Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana