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NPI Code Detail

MEDICARE: MRS. JANICE GABE LCSW, MAC, CADAC

MEDICARE:  MRS. JANICE  GABE  LCSW, MAC, CADAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34001287AIN

General Provider Information

NPI Number : 1679604789
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANICE GABE LCSW, MAC, CADAC
Provider Business Mailing Address
First Line : 6308 RUCKER RD STE B
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-4881
Country : US
Telephone Number : 317-465-9688
Fax Number : 317-465-9689
Provider Business Practice Location Address
First Line : 6308 RUCKER RD STE B
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-4881
Country : US
Telephone Number : 317-465-9688
Fax Number : 317-465-9689
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. JANICE GABE LCSW, MAC, CADAC” Practice Location

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