Individual
MICHELE WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11615 NEWPORT DR, INDIANAPOLIS, IN 46236-2917
(317) 250-4207
Mailing address
11615 NEWPORT DR, INDIANAPOLIS, IN 46236-2917
(317) 250-4207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007164A
IN
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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