Individual
KELLI GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3547 MIESHA DR, INDIANAPOLIS, IN 46217-9223
(317) 697-4848
Mailing address
3547 MIESHA DR, INDIANAPOLIS, IN 46217-9223
(317) 697-4848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010249A
IN
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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