Individual
NICOLE E CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2040 N SHADELAND AVE STE 250, INDIANAPOLIS, IN 46219-1712
(317) 908-6671
Mailing address
901 N RILEY AVE, INDIANAPOLIS, IN 46201-2847
(317) 908-6671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011812A
IN
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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