Individual
MS. GILLIAN HADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1005 S MERIDIAN ST, LEBANON, IN 46052-2784
(765) 482-7421
(765) 482-7462
Mailing address
3259 W 48TH ST, INDIANAPOLIS, IN 46228-2103
(617) 680-3277
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34006476A
IN
Other
Enumeration date
09/15/2009
Last updated
04/23/2012
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