Individual
TINA M SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2452
(317) 883-7327
Mailing address
4522 EARLHAM DR, INDIANAPOLIS, IN 46227-4371
(317) 883-7327
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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