Individual
MR. PAUL N GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LCSW LMFT
Contact information
Practice address
6284 RUCKER RD, STE N, INDIANAPOLIS, IN 46220-4851
(317) 475-1389
Mailing address
6284 RUCKER RD, STE N, INDIANAPOLIS, IN 46220-4851
(317) 475-1389
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002279A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112975
BCBS ID
IN
Enumeration date
12/15/2006
Last updated
07/08/2007
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