Elise Nicole Headley
Elise Nicole Headley is a Clinical Social Worker in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2021.
- Licensed in
- IN
- In the registry since
- 2021
Practice location Address checks out
1004 W 1st StBloomington, IN 47403-2208
Phone: (812) 393-5834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X (IN) |
|---|
Record details
| NPI number | 1073185708 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 13, 2021 |
| Last updated in NPPES | July 13, 2021 |
| Certification date | July 13, 2021 |
| Mailing address | 1004 W 1st St, Bloomington, IN 47403-2208 |
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