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Individual

EVREN NYX WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X
Credential
LSW

Contact information

Practice address
700 N ALABAMA ST APT 1612, INDIANAPOLIS, IN 46204-1358
(812) 709-9014
Mailing address
700 N ALABAMA ST APT 1612, INDIANAPOLIS, IN 46204-1358
(812) 709-9014

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012545A
IN

Other

Enumeration date
10/04/2024
Last updated
10/04/2024
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