Individual
JANNA KINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14074 TRADE CENTER DR STE 140, FISHERS, IN 46038
(317) 775-3030
Mailing address
10121 YOUNGWOOD LN, FISHERS, IN 46038-7167
(317) 775-3030
(123) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006726A
IN
Other
Enumeration date
10/12/2006
Last updated
08/31/2018
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