Individual
AUDREY ANN ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1050 E 77TH /STREET, INDIANAPOLIS, IN 46240
(317) 431-9086
Mailing address
1050 E 77TH /STREET, INDIANAPOLIS, IN 46240
(317) 431-9086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009949A
IN
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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