Individual
MARK LYKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
964 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46204-1032
(317) 951-0688
Mailing address
964 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46204-1032
(317) 951-0688
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007831A
IN
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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