Individual
MS. CHANDA ELAINE BOYDEN-DEIDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LISW
Contact information
Practice address
1731 E COUNTY ROAD 600 N, PITTSBORO, IN 46167-9011
(317) 938-8517
Mailing address
1731 E COUNTY ROAD 600 N, PITTSBORO, IN 46167-9011
(317) 938-8517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007615A
IN
1041C0700X
Clinical Social Worker
I.2203741
OH
Other
Enumeration date
02/06/2023
Last updated
04/14/2023
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