Individual
MELLINDY LICHELLE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 370-5548
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 370-5548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
99108026A
IN
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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