Individual
MRS. KIMBERLY C JOYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1525 N RITTER AVE, INDIANAPOLIS, IN 46219-3026
(317) 359-5467
Mailing address
6626 E 75TH ST, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4769
KY
1041C0700X
Clinical Social Worker
Primary
34006495A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
02/09/2007
Last updated
11/18/2020
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