Individual
IESHA GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
695 JUSTICE WAY, INDIANAPOLIS, IN 46203-1574
(317) 327-1575
Mailing address
5739 ENSLEY CT, INDIANAPOLIS, IN 46254-4957
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33012449A
IN
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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