Individual
EDITHA ERICA O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
(317) 466-2000
Mailing address
2422 E 68TH ST, INDIANAPOLIS, IN 46220-1317
(317) 466-1000
(317) 466-2000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33005531A
IN
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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