Individual
GREG EDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10967 ALLISONVILLE RD STE 240, FISHERS, IN 46038-2634
(216) 468-5000
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007288A
IN
Other
Enumeration date
08/17/2015
Last updated
06/16/2025
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