Individual
CAROLYN PASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2240 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5728
(317) 634-6341
(317) 464-9575
Mailing address
1575 DR MARTIN LUTHER KING JR ST, INDIANAPOLIS, IN 46202-2295
(317) 634-6341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009585A
IN
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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