Individual
REBECCA SOPHIE MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSM
Contact information
Practice address
10925 PROSPECT ST, INDIANAPOLIS, IN 46239-9692
(317) 532-6800
Mailing address
2330 WINTHROP AVE, INDIANAPOLIS, IN 46205-4532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009427A
IN
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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