Individual
CHRISTINE PASIERBOWICZ GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3171 N MERIDIAN ST, INDIANAPOLIS, IN 46208-4784
(317) 941-5010
(317) 931-5140
Mailing address
8520 HOFF CT, INDIANAPOLIS, IN 46256-6309
(317) 577-0996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004628A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34004628A
LCSW
IN
Enumeration date
05/01/2007
Last updated
07/08/2007
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