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Organization

INDIANA CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DONNA LYNN COLLINS MSW, LSW (SOCIAL WORKER)
(317) 507-9933
Entity
Organization

Contact information

Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-3344
Mailing address
3724 SALEM ST, INDIANAPOLIS, IN 46208-4302
(317) 507-9933

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
33004402A
IN

Other

Enumeration date
07/05/2010
Last updated
07/05/2010
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