Individual
MS. MARY ELAINE GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.M.H.C.
Contact information
Practice address
3935 EAGLE CREEK PKWY STE C, INDIANAPOLIS, IN 46254-4690
(317) 293-5563
(317) 293-7478
Mailing address
3935 EAGLE CREEK PKWY STE C, INDIANAPOLIS, IN 46254-4690
(317) 293-5563
(317) 293-7478
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001941A
IN
Other
Enumeration date
05/24/2007
Last updated
12/27/2007
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