Individual
KATHRYN SULLIVAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8126 MEADOWBROOK DR, INDIANAPOLIS, IN 46240-2600
(317) 403-5124
Mailing address
8126 MEADOWBROOK DR, INDIANAPOLIS, IN 46240-2600
(317) 403-5124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
34008780A
IN
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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