Individual
ALISSA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4007 N KEYSTONE AVE, INDIANAPOLIS, IN 46205-2833
(317) 508-1658
Mailing address
3230 N COLORADO AVE, INDIANAPOLIS, IN 46218-2216
(317) 902-2431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
05/18/2024
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