Individual
MELISSA ANDERSON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8424 NAAB RD STE 1H, INDIANAPOLIS, IN 46260-1954
(317) 338-8680
Mailing address
8424 NAAB RD STE 1H, INDIANAPOLIS, IN 46260-1954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006721A
IN
Other
Enumeration date
09/09/2020
Last updated
02/07/2022
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