| Nikkia Obannon Llc | |
|
519 V St Bedford IN 47421-1925 | |
| (812) 276-5030 | |
| Not Available |
| Full Name | Nikkia Obannon Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 519 V St, Bedford, Indiana |
| Authorized Official Name and Position | Nikkia Elizabeth O'bannon (EMPLOYEE) |
| Authorized Official Contact | 8122765030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikkia Obannon Llc 519 V St Bedford IN 47421-1925 Ph: (812) 276-5030 | Nikkia Obannon Llc 519 V St Bedford IN 47421-1925 Ph: (812) 276-5030 |
| NPI Number | 1245002757 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245002757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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