Individual
MS. ARIKA MIRACLE STROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW, LCSW
Contact information
Practice address
3111 W JACKSON ST, MUNCIE, IN 47304-4371
(765) 284-0879
(765) 284-1480
Mailing address
3111 W JACKSON ST, MUNCIE, IN 47304-4371
(765) 284-0879
(765) 284-1480
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004111A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186222
ANTHEM BCBS
IN
Enumeration date
08/17/2006
Last updated
07/08/2007
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