Individual
KIM LYNN EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
9106 N MERIDIAN ST, STE 100, INDIANAPOLIS, IN 46260
(317) 575-9111
(317) 571-4470
Mailing address
9106 N MERIDIAN ST, STE 100, INDIANAPOLIS, IN 46260
(317) 575-9111
(317) 571-4470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004780A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325365
BCBS
—
Enumeration date
05/17/2006
Last updated
07/08/2007
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