SearchIndiana1041C0700X

Georgia Koushiafes, MSW LCSW

NPI 1700555836 · on the registry since 2021 · sole proprietor

Practice

Address
604 W Dodds St
Bloomington, IN 47403
Phone
(812) 360-2869

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
2021-09-11

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