Individual
LINDA KATHLEEN HEIDEN CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
420 E MAIN ST, GREENWOOD, IN 46143-1364
(317) 807-0456
Mailing address
2325 E 66TH ST, INDIANAPOLIS, IN 46220-1401
(317) 807-0456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005579A
IN
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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