Individual
MR. JUSTIN MISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9465 COUNSELORS ROW, INDIANAPOLIS, IN 46240-6423
(574) 870-5068
Mailing address
6129 EVANSTON AVE, INDIANAPOLIS, IN 46220-2317
(574) 870-5068
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008115A
IN
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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