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Individual

DANIELLE E WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1800 N MERIDIAN ST STE 202A, INDIANAPOLIS, IN 46202-1433
(317) 340-8184
(317) 981-5503
Mailing address
1800 N MERIDIAN ST STE 202A, INDIANAPOLIS, IN 46202-1433
(317) 340-8184
(317) 981-5503

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0
IN
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300020990
IN
Enumeration date
07/03/2019
Last updated
07/03/2019
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