Organization
ST. MARY'S CHILD CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE SHERMAN (EXECUTIVE DIRECTOR)
(317) 635-1491
Entity
Organization
Contact information
Practice address
901 DR MARTIN LUTHER KING JR ST, INDIANAPOLIS, IN 46202-4105
(317) 635-1491
(317) 635-1493
Mailing address
901 DR MARTIN LUTHER KING JR ST, INDIANAPOLIS, IN 46202-4105
(317) 635-1491
(317) 635-1493
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99022377A
IN
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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