Individual
DOUG COLGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LSW
Contact information
Practice address
6745 GRAY RD, SUITE C, INDIANAPOLIS, IN 46237-3262
(317) 683-5078
(317) 782-7905
Mailing address
6745 GRAY RD, SUITE C, INDIANAPOLIS, IN 46237-3262
(317) 683-5078
(317) 782-7905
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
33003053A
IN
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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