Individual
MS. KJIRSTEN SUZANNE KMETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2622
Mailing address
3130 MEDFORD AVE, INDIANAPOLIS, IN 46222-1933
(317) 924-0024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33004800A
IN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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