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Individual

LADORTHA J MITCHELL-YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW. LCSW

Contact information

Practice address
3921 N MERIDIAN ST STE 102, INDIANAPOLIS, IN 46208-4061
(317) 252-5258
Mailing address
4942 ALLISONVILLE RD UNIT B, INDIANAPOLIS, IN 46205-1538
(317) 550-6229

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
99072042A
IN
1041C0700X
Clinical Social Worker
Primary
34009677A
IN

Other

Enumeration date
11/29/2012
Last updated
04/29/2022
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