Individual
SHELLY RENEE PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2452
(317) 296-4914
Mailing address
7742 PENNOVER CT, INDIANAPOLIS, IN 46217-7170
(317) 696-0165
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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