Individual
PAUL F GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
610 E.SOUTHPORT RD., SUITE 100, INDIANAPOLIS, IN 46227-8592
(317) 783-8383
(317) 782-6929
Mailing address
610 E SOUTHPORT RD, SUITE 100, INDIANAPOLIS, IN 46227-8590
(317) 783-8383
(317) 782-6929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001884A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11541288
CAQH
IN
Enumeration date
08/20/2006
Last updated
07/07/2009
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