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Individual

GINGER MOTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
662 W RUSSELL LAKE DR, ZIONSVILLE, IN 46077-9038
(765) 252-9457
Mailing address
662 W RUSSELL LAKE DR, ZIONSVILLE, IN 46077-9038

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004531A
IN

Other

Enumeration date
09/08/2023
Last updated
09/08/2023
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