AUDIE WHITAKER

LAFAYETTE, IN
NPI1932415411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34007678A)
Enumeration Date2010-08-23
Last Update Date2026-05-22
Business Address
-- AUDIE WHITAKER
200 FERRY ST STE B
LAFAYETTE, IN 47901-1172
Phone number: 317-574-1254
Mailing Address
-- AUDIE WHITAKER
200 FERRY ST STE B
LAFAYETTE, IN 47901-1172
Phone number: 317-574-1254