Individual
JODY LYNN MCQUITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19277 FOX CHASE DR, NOBLESVILLE, IN 46062-6619
(317) 431-1352
Mailing address
19277 FOX CHASE DR, NOBLESVILLE, IN 46062-6619
(317) 431-1352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005059A
IN
1041S0200X
School Social Worker
34005059A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530
—
IN
Enumeration date
02/27/2007
Last updated
04/05/2016
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