Individual
GRETA COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
927 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46204-1020
(317) 686-9860
(317) 686-5810
Mailing address
927 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46204-1020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006987A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201160650A
—
IN
Enumeration date
06/06/2014
Last updated
06/06/2014
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