Individual
MARY W DURELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11900 N PENN ST STE 104, CARMEL, IN 46032-4694
(216) 468-5000
Mailing address
8180 CLEARVISTA PKWY, 230, INDIANAPOLIS, IN 46256-5629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007940A
IN
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
Enumeration date
08/01/2006
Last updated
03/06/2025
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