Individual
KANEYIA L HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
Mailing address
3503 IDLEWOOD TER APT 710, INDIANAPOLIS, IN 46214-6018
(618) 534-8632
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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