Individual
KAITLIN SHOEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4712 WENTWORTH BLVD, INDIANAPOLIS, IN 46201-4725
(317) 260-1933
Mailing address
4712 WENTWORTH BLVD, INDIANAPOLIS, IN 46201-4725
(317) 260-1933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009371A
IN
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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