Individual
KYLE CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
850 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1098
(317) 880-0906
Mailing address
850 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007763A
IN
Other
Enumeration date
03/03/2017
Last updated
03/16/2017
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