Individual
MISS DIVYA WILSON MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
8091 TOWNSHIP LINE RD, SUITE 108, INDIANAPOLIS, IN 46260-2494
(317) 415-7742
Mailing address
8091 TOWNSHIP LINE RD, SUITE 108, INDIANAPOLIS, IN 46260-2494
(317) 415-7742
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
99049858A
IN
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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