Individual
MRS. MELISSA DAWN VANCE-BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1481 WEST 10TH STREET, INDIANAPOLIS, IN 46202
(317) 554-0000
Mailing address
1481 WEST 10TH STREET, PSYCHIATRY SERVICE, INDIANAPOLIS, IN 46202
(317) 988-1649
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33004997A
IN
1041C0700X
Clinical Social Worker
Primary
34005380A
IN
Other
Enumeration date
04/16/2007
Last updated
10/13/2009
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