Individual
BROOKLYN JO DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9434 HADDINGTON DR W, INDIANAPOLIS, IN 46256-1147
(317) 605-0356
Mailing address
9434 HADDINGTON DR W, INDIANAPOLIS, IN 46256-1147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011492A
IN
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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