Individual
KELLIE NICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5840 ARLO DR APT 3313, INDIANAPOLIS, IN 46237-1369
(317) 753-5178
Mailing address
5840 ARLO DR APT 3313, INDIANAPOLIS, IN 46237-1369
(317) 753-5178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009880A
IN
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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