Provider Information for 1568459550
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ROBERTA JEAN CUMMINGS LCSW
Other Names:Professional Name:JEAN CUMMINGSSex: Female
NPI: 1568459550
Last Updated: 2008-07-31
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1568459550 | ||||||||
| Enumeration Date | 2005-10-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 515 BAYOU ST VINCENNES, IN 47591-1034 United States Phone: 812-886-6800 | Fax:812-886-6809 | ||||||||
| Primary Practice Address | 121 BUNTIN ST VINCENNES, IN 47591-1320 United States Phone: 812-885-2700 | Fax:812-885-2716 | ||||||||
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