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Individual

ARDELLA JEAN AIKENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
3419 W 52ND ST, INDIANAPOLIS, IN 46228-2003
(317) 217-4604
Mailing address
3419 W 52ND ST, INDIANAPOLIS, IN 46228-2003
(317) 217-4604

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/03/2018
Last updated
06/03/2018
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