Individual
AMDAWAY IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9165 OTIS AVE, STE 227, INDIANAPOLIS, IN 46216-2318
(317) 207-7010
Mailing address
9165 OTIS AVE STE 227, INDIANAPOLIS, IN 46216-2318
(317) 207-7010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IN
Other
Enumeration date
06/08/2020
Last updated
07/01/2021
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