Individual
TARA MARIE WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(317) 247-8919
Mailing address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(317) 247-8919
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99098241A
IN
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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