Individual
EMILY STAGE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 882-5122
(317) 888-8642
Mailing address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 882-5122
(317) 888-8642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
340057754A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100367690
—
IN
Enumeration date
08/26/2010
Last updated
03/16/2021
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