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DEIDRA STOREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, LMHC

Contact information

Practice address
941 E 86TH ST STE 120, INDIANAPOLIS, IN 46240-1842
(812) 631-0056
Mailing address
315 W LINCOLN RD, KOKOMO, IN 46902-3850
(765) 450-4843

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
452541282
IN

Other

Enumeration date
05/06/2013
Last updated
01/16/2024
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