Organization
ALLIANCE FOR LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLEY A. STEVENSON (OWNER)
(317) 679-6858
Entity
Organization
Contact information
Practice address
733 W 44TH ST, INDIANAPOLIS, IN 46208-3312
(317) 679-6858
(267) 821-1810
Mailing address
733 W 44TH ST, INDIANAPOLIS, IN 46208-3312
(317) 679-6858
(267) 821-1810
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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