Individual
MRS. CAROL RUTH GWYNNE-VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16249 DURSLEY CT, WESTFIELD, IN 46074-5400
(317) 399-8058
Mailing address
16249 DURSLEY CT, WESTFIELD, IN 46074-5400
(317) 399-8058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001987A
IN
Other
Enumeration date
11/16/2008
Last updated
11/16/2008
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