Individual
MR. KEVIN DUANE HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
448 COBBLESTONE RD, AVON, IN 46123-4619
(317) 370-0697
Mailing address
448 COBBLESTONE RD, AVON, IN 46123-4619
(317) 370-0697
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KIUGIYFVLUYFOUTDKIYU
—
IN
Enumeration date
04/26/2021
Last updated
04/26/2021
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