Individual
MARK MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
7250 CLEARVISTA DRIVE, STE 227, INDIANAPOLIS, IN 46256-5600
(317) 621-5719
(317) 621-6086
Mailing address
6626 E 75TH STREET, STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006493A
IN
Other
Enumeration date
11/26/2012
Last updated
09/23/2015
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