Individual
CHRISTINA MARIE STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-8494
Mailing address
720 ESKENAZI AVE LOWR LEVEL, INDIANAPOLIS, IN 46202-5187
(317) 880-8494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008286A
IN
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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