Individual
KAITLYN GREGOIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2440 W 39TH ST, INDIANAPOLIS, IN 46228-3279
(317) 289-7470
Mailing address
2440 W 39TH ST, INDIANAPOLIS, IN 46228-3279
(463) 280-4941
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011148A
IN
1041C0700X
Clinical Social Worker
Primary
34012185A
IN
Other
Enumeration date
05/09/2023
Last updated
03/03/2026
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