Individual
BREANNEN NICOLE WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-9795
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-9795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008729A
IN
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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