Individual
LISA JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4600
Mailing address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39002886A
IN
Other
Enumeration date
02/18/2014
Last updated
10/14/2022
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