Individual
MRS. JAN MICHELLE VANDEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5170 E 65TH ST, SUITE 107, INDIANAPOLIS, IN 46220-4892
(317) 845-8475
(317) 845-8476
Mailing address
5170 E 65TH ST, SUITE 107, INDIANAPOLIS, IN 46220-4892
(317) 845-8475
(317) 845-8476
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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