Individual
KELLY GARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
931 E 86TH ST STE 101, INDIANAPOLIS, IN 46240-1852
(317) 468-9998
Mailing address
5214 E PLEASANT RUN PARKWAY NORTH DR, INDIANAPOLIS, IN 46219-5638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004287A
IN
Other
Enumeration date
11/17/2016
Last updated
12/02/2016
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