Individual
KATHLEEN AYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4231 BROADWAY ST, INDIANAPOLIS, IN 46205-1809
(317) 903-8888
Mailing address
4231 BROADWAY ST, INDIANAPOLIS, IN 46205-1809
(317) 903-8888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006903A
IN
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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