Individual
ELLEN CLARE MAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
144 W 64TH ST, INDIANAPOLIS, IN 46260-4206
(000) 000-0000
Mailing address
6101 N KEYSTONE AVE STE 100, INDIANAPOLIS, IN 46220-2499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
123214
MA
1041C0700X
Clinical Social Worker
34009332A
IN
Other
Enumeration date
04/07/2020
Last updated
02/01/2025
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