Jacob Nidey, LSW

NPI #1053656652 in Vincennes, Indiana

Provider Information

NPI Number
1053656652
Entity Type
Individual
Name
Jacob Nidey, LSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
LSW
Enumeration Date
Dec 7, 2012
Last Updated
Dec 7, 2012

Practice Location

Address
515 BAYOU ST
State
Indiana
ZIP Code
47591-1034
Phone
(812) 886-6800

Specialties & Taxonomy Codes

Specialty
Social Worker

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