Individual
NICOLE MENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4326 PATRICIA ST, INDIANAPOLIS, IN 46222-1543
(317) 226-4261
Mailing address
625 N BRUCE ST, LADOGA, IN 47954-7306
(317) 970-3715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009759A
IN
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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