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Jared D Martin

Social Worker in Indianapolis, IN. Individual provider (NPI-1).

NPI number1043030331
StatusActive
Last updated in NPPESOct 14, 2024

Details

NPI
1043030331
Entity type
Individual (NPI-1)
Name
Jared D Martin
Sex
Male
Sole proprietor
No
Enumeration date
Oct 12, 2024
Certification date
Oct 14, 2024
Last updated
Oct 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker99127605AINYes

Practice location

8520 Allison Pointe Blvd Ste 220
Indianapolis, IN 46250-4299

Phone 317-992-1914

Mailing address

1515 Lewis St Apt 428
Indianapolis, IN 46202-4181

Phone 765-702-0101

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