Individual
DONNA GENEVA DEMUNBRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1209 FINLEY AVE, INDIANAPOLIS, IN 46203-4378
(317) 220-8098
Mailing address
1209 FINLEY AVE, INDIANAPOLIS, IN 46203-4378
(317) 220-8098
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
34000657A
IN
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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