Individual
LAKEISHA GHOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4118 DEBORAH ST, INDIANAPOLIS, IN 46222-4635
(317) 366-8249
Mailing address
4118 DEBORAH ST, INDIANAPOLIS, IN 46222-4635
(317) 366-8249
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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