Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 34006740A | IN |
NPI | 1003243130 |
---|---|
Provider Name | Ms. Cynthia Lambert Crowe |
First Address | Indianapolis, IN 46202-4800 |
Second Address | Indianapolis, IN 46202-4800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2013 |
Last Update Date | 03/10/2013 |