Individual
LIA G STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1801 N SENATE BLVD STE 2000, INDIANAPOLIS, IN 46202-1252
(317) 963-1592
(317) 962-9657
Mailing address
1801 N SENATE BLVD STE 2000, INDIANAPOLIS, IN 46202-1252
(317) 963-1592
(317) 962-9657
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005085A
IN
Other
Enumeration date
09/23/2013
Last updated
02/28/2019
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