Individual
KIM MARIE MANOIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5740 MCFARLAND RD, INDIANAPOLIS, IN 46227-8719
(317) 789-4427
Mailing address
5740 MCFARLAND RD, INDIANAPOLIS, IN 46227-8719
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1551673
IN
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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