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Individual

M DAWN NEWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6655 E U S 36, AVON, IN 46123-8923
(317) 272-3330
(317) 272-3331
Mailing address
4430 MANNER DALE DR, LOUISVILLE, KY 40220-3325
(763) 433-8285

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005086A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000485805
ANTHEM BCBS PROVIDER PIN
IN
Enumeration date
08/01/2006
Last updated
07/19/2007
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