Individual
MARTHA E PRIETO-MELLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1431 N DELAWARE ST, INDIANAPOLIS, IN 46202-2416
(317) 536-7100
(317) 536-7101
Mailing address
1431 N DELAWARE ST, INDIANAPOLIS, IN 46202-2416
(317) 536-7100
(317) 536-7101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005552A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
Enumeration date
10/17/2006
Last updated
11/19/2015
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