Individual
MARY KATHERINE DEGRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10293 N MERIDIAN ST, 310, INDIANAPOLIS, IN 46290-1123
(317) 550-5541
Mailing address
10293 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1123
(317) 550-5541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
29746
CA
1041C0700X
Clinical Social Worker
Primary
34007229A
IN
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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