Individual
LACANDIA SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1002 WISHARD BLVD STE 4110, INDIANAPOLIS, IN 46202-4164
(317) 944-8162
(317) 944-8163
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
101747
CA
1041C0700X
Clinical Social Worker
17060
FL
1041C0700X
Clinical Social Worker
Primary
34009913A
IN
Other
Enumeration date
08/25/2021
Last updated
12/12/2022
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