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Organization

KOKWAA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELICA MARILYN RONKE LCSW (CLINICAL MANAGER)
(502) 705-3906
Entity
Organization

Contact information

Practice address
6144 HILLSIDE AVE STE 11, INDIANAPOLIS, IN 46220-2474
(502) 705-3906
Mailing address
6144 HILLSIDE AVE STE 11, INDIANAPOLIS, IN 46220-2474
(502) 705-3906

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/25/2023
Last updated
06/10/2025
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