Individual
GRACE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(317) 447-2485
Mailing address
3815 CARROLLTON AVE, INDIANAPOLIS, IN 46205-2750
(317) 667-6589
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011328A
IN
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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