Individual
CARRIE LEE CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 E 82ND ST, INDIANAPOLIS, IN 46240-2350
(317) 410-5458
Mailing address
1319 E 82ND ST, INDIANAPOLIS, IN 46240-2350
(317) 410-5458
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009650A
IN
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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