Individual
LACEY DABELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1434 SHELBY ST, INDIANAPOLIS, IN 46203-1945
(317) 655-3200
(317) 655-3210
Mailing address
1434 SHELBY ST, INDIANAPOLIS, IN 46203-1945
(317) 655-3200
(317) 655-3210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006140A
IN
Other
Enumeration date
08/18/2015
Last updated
09/15/2015
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