Individual
ECHO RENEE SHAPPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3835 RUCKLE ST, INDIANAPOLIS, IN 46205-2715
(765) 438-4554
Mailing address
3835 RUCKLE ST, INDIANAPOLIS, IN 46205-2715
(765) 438-4554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006199A
IN
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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