Most Relevant Information
Provider Data
| NPI Number: | 1003598863 |
| Provider Name: | AVON'TE C WADDY |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2023 |
| Last Updated: | 08/02/2023 |
Provider Practice Location
5638 PROFESSIONAL CIR
INDIANAPOLIS
IN
462415042
Practice Location Phone/Fax
| Phone: | 8887141927 |
| Fax: |
Provider Mailing Location
5638 PROFESSIONAL CIR
INDIANAPOLIS
IN
462415042
Provider Mailing Phone/Fax
| Phone: | 8887141927 |
| Fax: |