Individual
MRS. JESSICA ANNE NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1103 E MAIN ST, BROWNSBURG, IN 46112
(317) 852-6603
(317) 350-2939
Mailing address
1103 E MAIN ST, BROWNSBURG, IN 46112-1431
(317) 852-6603
(317) 350-2939
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33005002A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1632
OUTPATIENT THERAPY
IN
Enumeration date
05/28/2006
Last updated
02/14/2019
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