Individual
CHRISTY NOELLE STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
1700 EAST 38TH STREET, MARION, IN 46953-4568
(765) 661-1521
Mailing address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 661-1521
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33007040A
IN
Other
Enumeration date
05/16/2015
Last updated
08/27/2021
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