Individual
STEPHANIE RENE DEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
10080 E US HIGHWAY 36 STE A, AVON, IN 46123-8174
(317) 790-9396
Mailing address
2070 WOODFIELD DR, GREENWOOD, IN 46143-6413
(317) 201-3377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33010296A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33010296A
OTHER
IN
Enumeration date
12/09/2021
Last updated
12/09/2021
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