Individual
ERIN GAIL CANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 CIMARRON TRL, MOORESVILLE, IN 46158-8234
(317) 796-2055
Mailing address
704 CIMARRON TRL, MOORESVILLE, IN 46158-8234
(317) 796-2055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99122839A
IN
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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