Individual
MS. KELLY ANNE ERNSPERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6515 E 82ND ST, SUITE 110, INDIANAPOLIS, IN 46250-1576
(317) 596-1966
(317) 598-0802
Mailing address
6515 E 82ND ST, SUITE 110, INDIANAPOLIS, IN 46250-1576
(317) 596-1966
(317) 598-0802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004338A
IN
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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