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Individual

MISS KAY E WHITEHEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W., L.C.S.W., CT

Contact information

Practice address
9135 N MERIDIAN ST, SUITE A-9, INDIANAPOLIS, IN 46260-1878
(317) 626-3626
Mailing address
9135 N MERIDIAN ST, SUITE A-9, INDIANAPOLIS, IN 46260-1878
(317) 626-3626

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004243A
IN

Other

Enumeration date
02/07/2007
Last updated
10/30/2008
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