Individual
BRENT RICHARD RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1420
(317) 847-5949
Mailing address
777 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1420
(317) 847-5949
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99102073A
IN
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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