Individual
MRS. DENISE DIANE HAMBLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3171 N MERIDIAN ST, INDIANAPOLIS, IN 46208-4784
(317) 941-5003
(317) 941-5006
Mailing address
3171 N MERIDIAN ST, INDIANAPOLIS, IN 46208-4784
(317) 941-5003
(317) 941-5006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33003843A
IN
1041C0700X
Clinical Social Worker
Primary
34005509A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000587722
ANTHEM BLUE CROSS BLUE SHIELD
IN
Enumeration date
06/19/2006
Last updated
11/26/2019
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