Individual
AMY DIVINCENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(317) 247-8900
(317) 247-8935
Mailing address
4920 LEMANS DR, APT. T07, INDIANAPOLIS, IN 46205-1254
(812) 240-6068
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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