Individual
AUDREY SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
8402 HARCOURT RD STE 300, INDIANAPOLIS, IN 46260-2052
(317) 338-8983
(317) 338-7154
Mailing address
8402 HARCOURT RD STE 300, INDIANAPOLIS, IN 46260-2052
(317) 338-8983
(317) 338-7154
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
74000352A
IN
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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