Individual
ANDREA HICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8116 BROMLEY PL, INDIANAPOLIS, IN 46219-2852
(317) 319-0234
Mailing address
8116 BROMLEY PL, INDIANAPOLIS, IN 46219-2852
(317) 319-0234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009255A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34009255A
—
IN
Enumeration date
08/24/2022
Last updated
08/24/2022
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