| Magnolia Child And Family Therapy Llc | |
|
127 E Main St Ste 104 Crawfordsville IN 47933-1711 | |
| (765) 376-2523 | |
| Not Available |
| Full Name | Magnolia Child And Family Therapy Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 127 E Main St Ste 104, Crawfordsville, Indiana |
| Authorized Official Name and Position | Shelby Rusk (OWNER) |
| Authorized Official Contact | 7653762523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Child And Family Therapy Llc 127 E Main St Ste 104 Crawfordsville IN 47933-1711 Ph: (765) 376-2523 | Magnolia Child And Family Therapy Llc 127 E Main St Ste 104 Crawfordsville IN 47933-1711 Ph: (765) 376-2523 |
| NPI Number | 1316768963 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316768963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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