Most Relevant Information
Provider Data
| NPI Number: | 1003583055 |
| Provider Name: | LAURA PAGE |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 34009366A |
Most Important Dates
| Enumeration Date: | 08/26/2021 |
| Last Updated: | 12/14/2023 |
Provider Practice Location
5230 E STOP 11 RD STE 300
INDIANAPOLIS
IN
462376401
Practice Location Phone/Fax
| Phone: | 7659615173 |
| Fax: |
Provider Mailing Location
240 N TILLOTSON AVE
MUNCIE
IN
473043988
Provider Mailing Phone/Fax
| Phone: | 7652881928 |
| Fax: |