Individual
MRS. ELWANDA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
Mailing address
11531 CONGRESSIONAL LN, INDIANAPOLIS, IN 46235-9700
(317) 413-0664
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33007273A
IN
1041C0700X
Clinical Social Worker
Primary
34007916A
IN
Other
Enumeration date
09/05/2016
Last updated
10/09/2017
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