Individual
DAISY HUNTZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3566
Mailing address
4922 EAGLES WATCH DR, INDIANAPOLIS, IN 46254-9542
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33010721A
IN
1041C0700X
Clinical Social Worker
Primary
34011432A
IN
Other
Enumeration date
06/12/2018
Last updated
09/11/2024
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