Individual
KELSEY PAIGE GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1801 SENATE BLVD, INDIANAPOLIS, IN 46202-1228
(317) 944-3889
(317) 944-3882
Mailing address
PO BOX 778912, CHICAGO, IL 60677-8912
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006050A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300085836
—
IN
Enumeration date
01/11/2024
Last updated
01/31/2024
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