Provider Demographics
NPI:1124227830
Name:NJUNGE, ALICE (MSW)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:NJUNGE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3511 E 46TH ST STE K-2
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205
Mailing Address - Country:US
Mailing Address - Phone:317-273-8897
Mailing Address - Fax:317-273-8862
Practice Address - Street 1:708 HANNAH PL
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-7493
Practice Address - Country:US
Practice Address - Phone:317-738-0545
Practice Address - Fax:317-738-0545
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker