Organization
IAMA WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONISHA JANE MANNAN LCSW (CHIEF EXECUTIVE OFFICER)
(317) 437-8918
Entity
Organization
Contact information
Practice address
55 1/2 E COURT ST, FRANKLIN, IN 46131-2303
(317) 437-8918
Mailing address
55 1/2 E COURT ST, FRANKLIN, IN 46131-2303
(317) 437-8918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005728A
IN
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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