Individual
ERICA ELAINE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
70 E 91ST ST STE 109, INDIANAPOLIS, IN 46240-1550
(317) 218-4081
(317) 218-4086
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(317) 218-4081
(317) 218-4086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005411A
IN
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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