Individual
MRS. EVELYN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
703 PRO-MED LN, CARMEL, IN 46032-5317
(317) 208-7233
(317) 208-7283
Mailing address
703 PRO-MED LN, CARMEL, IN 46032-5317
(317) 208-7233
(317) 208-7283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003349A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195397
ANTHEM
IN
Enumeration date
02/07/2006
Last updated
01/16/2014
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