Individual
LETITIA V HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
940 LASLEY DR, LEBANON, IN 46052-1480
(888) 714-1927
(317) 745-9565
Mailing address
11429 SCHEEL LN, CARMEL, IN 46032-3470
(317) 582-0063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005683A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200936060A
—
IN
Enumeration date
04/20/2007
Last updated
08/29/2019
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