Individual
BRENDA ANTONELLA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9780 LANTERN RD STE 350, FISHERS, IN 46037-4093
(317) 520-1116
Mailing address
10822 LANTERN VIEW DR APT 307, FISHERS, IN 46038-4204
(317) 515-1203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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