Individual
JUSTIN MATTHEW FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2210 JACKSON ST, ANDERSON, IN 46016-4363
(765) 646-8106
Mailing address
3943 HORNICKEL DR, INDIANAPOLIS, IN 46235-3626
(765) 374-8293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011670A
IN
Other
Enumeration date
09/20/2022
Last updated
04/30/2025
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