Individual
MELISSA VAN WORMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-9088
Mailing address
945 CREEKSIDE LN, PLAINFIELD, IN 46168-2392
(765) 720-9559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008186A
IN
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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