Individual
DAMITA JOVAN JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5170 E 65TH ST, SUITE 107, INDIANAPOLIS, IN 46220-4892
(317) 845-8475
(317) 845-8476
Mailing address
3510 BRANDENBURG BLVD, INDIANAPOLIS, IN 46239-9259
(317) 658-0043
(317) 845-8476
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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