Individual
LAUREN ASHLEY MIRKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 935-6573
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 935-6573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149022065
IL
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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