Individual
MRS. DANIELLE TYLER FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1111 E 54TH ST, INDIANAPOLIS, IN 46220-3579
(317) 409-9442
Mailing address
1111 E 54TH ST STE 153, INDIANAPOLIS, IN 46220-3582
(317) 409-9442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
33006205A
IN
Other
Enumeration date
07/23/2012
Last updated
12/30/2014
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