Individual
MIA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6414 OAKLANDON RD, INDIANAPOLIS, IN 46236-2961
(317) 253-7387
Mailing address
PO BOX 55107, INDIANAPOLIS, IN 46205-0107
(317) 253-7387
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33006580A
IN
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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