Individual
MARLENE JEANNETTE JULYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2957
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2957
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10984
SC
1041C0700X
Clinical Social Worker
Primary
L7453
OR
Other
Enumeration date
06/24/2016
Last updated
03/17/2018
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