Individual
MRS. JENNIFER ELIZABETH MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 417-2117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33006331A
IN
1041C0700X
Clinical Social Worker
34007101A
IN
Other
Enumeration date
04/15/2014
Last updated
11/05/2014
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