Individual
DARA L SCHULBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5234 NORWALDO AVE, INDIANAPOLIS, IN 46220-3450
(317) 502-5448
Mailing address
5234 NORWALDO AVE, INDIANAPOLIS, IN 46220-3450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005568A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
Enumeration date
06/14/2006
Last updated
04/05/2017
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