Individual
MR. GUY ELLIOT LOVELL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 BEACHWAY DRIVE, SUITE C, INDIANAPOLIS, IN 46224
(317) 788-4111
(317) 788-7783
Mailing address
25 BEACHWAY DRIVE, SUITE C SUPPORTIVE SYSTEMS LLC, INDIANAPOLIS, IN 46224
(317) 788-4111
(317) 788-7783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000330A
IN
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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