Individual
KATHY CARDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT, LCAC
Contact information
Practice address
5110 E 70TH ST, INDIANAPOLIS, IN 46220-3836
(317) 979-4882
Mailing address
5110 E 70TH ST, INDIANAPOLIS, IN 46220-3836
(317) 979-4882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001330A
IN
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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