Individual
JESSICA LEE FROMM
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
(814) 988-9922
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-9922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33009051A
IN
1041C0700X
Clinical Social Worker
Primary
149022748
IL
Other
Enumeration date
09/03/2020
Last updated
11/16/2020
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