Most Relevant Information
Provider Data
NPI Number: | 1003556986 |
Provider Name: | PHILIP LIGHTNER SOWDERS M.DIV.PC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 03/30/2022 |
Last Updated: | 03/30/2022 |
Provider Practice Location
7941 CASTLEWAY DR
INDIANAPOLIS
IN
462501953
Practice Location Phone/Fax
Phone: | 1317315032 |
Fax: |
Provider Mailing Location
7941 CASTLEWAY DR
INDIANAPOLIS
IN
462501953
Provider Mailing Phone/Fax
Phone: | 1317315032 |
Fax: |