Individual
HEATHER STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, MSW
Contact information
Practice address
429 E VERMONT ST STE 7, INDIANAPOLIS, IN 46202-3688
(812) 230-5106
Mailing address
429 E VERMONT ST STE 7, INDIANAPOLIS, IN 46202-3688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011076A
IN
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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