Individual
KYLE GUMIELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1060 E MAIN ST, BROWNSBURG, IN 46112-1408
(317) 643-0472
Mailing address
10176 BREEZY POINT DR, FISHERS, IN 46037-8783
(317) 919-8331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009513A
IN
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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