Magnolia Child and Family Therapy LLC
NPI #1316768963 in Crawfordsville, Indiana
Provider Information
- NPI Number
- 1316768963
- Entity Type
- Organization
- Organization Name
- Magnolia Child and Family Therapy LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Oct 17, 2024
- Last Updated
- Nov 14, 2024
Practice Location
- Address
- 127 E MAIN ST STE 104
- City
- Crawfordsville
- State
- Indiana
- ZIP Code
- 47933-1711
- Phone
- (765) 376-2523
Authorized Official
- Name
- SHELBY RUSK, MSW, LCSW
- Title
- OWNER
- Phone
- (765) 376-2523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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