KEVIN SHORT

INDIANAPOLIS, IN
NPI1093132698
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  99059885A)
Enumeration Date2014-03-21
Last Update Date2014-03-21
Business Address
-- KEVIN SHORT LCSW
5023 E 56TH ST 110
INDIANAPOLIS, IN 46226-1474
Phone number: 317-253-7387
Mailing Address
-- KEVIN SHORT LCSW
PO BOX 55107
INDIANAPOLIS, IN 46205-0107
Phone number: 317-253-7387
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