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Individual

ANGELIC M GISCLAIR-HADAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
4365 BRAEMAR DR, INDIANAPOLIS, IN 46254-3688
(317) 698-9020
(317) 489-4361
Mailing address
4365 BRAEMAR DR, INDIANAPOLIS, IN 46254-3688
(317) 698-9020
(317) 489-4361

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004243A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200857860
RENDERING PROVIDER ID FIRST STEPS
IN
Enumeration date
05/28/2008
Last updated
05/28/2008
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