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Individual

MADISON PRYOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, LCAC

Contact information

Practice address
8205 E 56TH ST STE 100, INDIANAPOLIS, IN 46216-1069
(317) 355-7622
Mailing address
7809 ROSE LN, INGALLS, IN 46048-9530
(317) 809-2405

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001779A
IN
1041C0700X
Clinical Social Worker
Primary
34010109A
IN

Other

Enumeration date
10/20/2017
Last updated
06/17/2025
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