Individual
MRS. JODY L. HIRST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6040 W 84TH ST, INDIANAPOLIS, IN 46278-1360
(317) 956-6288
(317) 956-6289
Mailing address
394 VENTANA CT, INDIANAPOLIS, IN 46290-1095
(317) 564-4462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001573A
IN
Other
Enumeration date
03/10/2008
Last updated
02/19/2013
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