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Individual

GRACE DICKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
10291 N MERIDIAN ST STE 310, CARMEL, IN 46290-1083
(317) 672-1970
Mailing address
920 E 62ND ST APT U2, INDIANAPOLIS, IN 46220-1917

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011051A
IN

Other

Enumeration date
10/04/2022
Last updated
10/04/2022
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