Individual
MS. HIEDI L KONSOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S; LCSW
Contact information
Practice address
13420 N MERIDIAN ST STE 400, CARMEL, IN 46032-1581
(317) 573-7050
Mailing address
1909 JAMES ST, NILES, OH 44446-3919
(330) 953-9305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011204A
IN
1041C0700X
Clinical Social Worker
I0700053SUPV
OH
Other
Enumeration date
11/15/2012
Last updated
09/28/2024
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