Individual
DOROTHY RADO-WILFONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT, ACSW
Contact information
Practice address
7 E HENDRICKS ST, SHELBYVILLE, IN 46176-2124
(317) 392-2564
(317) 392-9545
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002288A
IN
106H00000X
Marriage & Family Therapist
35001252A
IN
Other
Enumeration date
02/12/2007
Last updated
02/19/2015
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