Individual
JESSICA MARIE PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
940 LASLEY DR, LEBANON, IN 46052-1480
(765) 482-7421
(765) 482-7462
Mailing address
3117 RADFORD DR, INDIANAPOLIS, IN 46226-6227
(317) 650-5315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006957A
IN
Other
Enumeration date
01/16/2011
Last updated
04/24/2014
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