Individual
ELIZABETH NICOLE WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 HADLEY RD STE 103, MOORESVILLE, IN 46158-1884
(317) 834-1144
(317) 834-1155
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006048A
IN
Other
Enumeration date
07/23/2012
Last updated
03/15/2021
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