GEORGIA FAYE KOUSHIAFES

BLOOMINGTON, IN
NPI1700555836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34003881A)
Enumeration Date2021-09-11
Last Update Date2021-09-11
Business Address
Ms. GEORGIA FAYE KOUSHIAFES MSW LCSW
604 W DODDS ST
BLOOMINGTON, IN 47403-4773
Phone number: 812-360-2869
Mailing Address
Ms. GEORGIA FAYE KOUSHIAFES MSW LCSW
604 W DODDS ST
BLOOMINGTON, IN 47403-4773
Phone number: 812-360-2869