Individual
MR. JOHN HENRY PROCTOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
777 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1420
(317) 650-4353
Mailing address
777 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1420
(317) 650-4353
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011601A
IN
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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