Individual
DONNA L COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1701 N SENATE BLVD, RM AG 022, INDIANAPOLIS, IN 46202-1239
(317) 962-2622
(317) 963-5424
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33004402
IN
Other
Enumeration date
07/07/2008
Last updated
01/28/2014
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