Provider Information for 1255825550
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RANADA DALTON LMHC, MAMFT
Other Names:Former Name:RANADA BOWIESex: Female
NPI: 1255825550
Last Updated: 2024-05-22
Certification Date: 2024-05-22
Certification Date: 2024-05-22
Details
| Name | Value | ||||||||||||||
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| NPI | 1255825550 | ||||||||||||||
| Enumeration Date | 2018-06-20 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | PO BOX 78593 INDIANAPOLIS, IN 46278-0593 United States Phone: 317-969-5694 | Fax:317-663-1000 | ||||||||||||||
| Primary Practice Address | 8401 MOLLER RD # 78593 INDIANAPOLIS, IN 46268-5553 United States Phone: 317-969-5694 | Fax:317-663-1000 | ||||||||||||||
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