Individual
MR. NORMAN EARL MINOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
550 N. UNIVERSITY BLVD, ROOM 2155, INDIANAPOLIS, IN 46202-5149
(317) 944-2344
(317) 948-9265
Mailing address
550 N. UNIVERSITY BLVD, ROOM 2155, INDIANAPOLIS, IN 46202-5149
(317) 944-2344
(317) 948-9265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004298A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100073590
—
IN
Enumeration date
07/20/2005
Last updated
02/15/2012
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