Individual
ANDRIA LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1201 MICHIGAN AVE STE 330, LOGANSPORT, IN 46947-1570
(765) 753-4151
Mailing address
1201 MICHIGAN AVE STE 330, LOGANSPORT, IN 46947-1570
(574) 753-4151
(574) 722-1560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34010750A
IN
Other
Enumeration date
05/10/2022
Last updated
03/27/2024
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