Individual
MARK CONDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12734 PARKSIDE DR STE 120, FISHERS, IN 46038-4271
(866) 434-3255
Mailing address
6020 BENCHMARK II DR, FLOYDS KNOBS, IN 47119-9413
(239) 677-9128
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002959A
IN
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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