Organization
RAICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN OVANDO (LCSW)
(317) 561-1326
Entity
Organization
Contact information
Practice address
5717 WATTLES DR APT E, INDIANAPOLIS, IN 46224-7175
(317) 658-5524
Mailing address
3250A W 86TH ST # 1111, INDIANAPOLIS, IN 46268-3605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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