Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 33007132A | IN |
NPI | 1003204520 |
---|---|
Provider Name | Meagan Stoldt |
First Address | Indianapolis, IN 46241-5042 |
Second Address | Indianapolis, IN 46241-5042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2015 |
Last Update Date | 05/05/2015 |