Individual
GENYLL HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 N ILLINOIS ST, INDIANAPOLIS, IN 46208-4676
(317) 757-8041
Mailing address
3333 N ILLINOIS ST, INDIANAPOLIS, IN 46208-4676
(317) 757-8041
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99084202A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386163251
—
IN
Enumeration date
04/01/2019
Last updated
04/01/2019
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