Individual
MR. DWAYNE ALAN KNIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8465 KEYSTONE XING, SUITE 145, INDIANAPOLIS, IN 46240-4355
(317) 257-1505
Mailing address
5252 N MERIDIAN ST, INDIANAPOLIS, IN 46208-2652
(317) 259-8202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005029A
IN
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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