Individual
MARY BETH SCHRAMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2364 N US HIGHWAY 35, LA PORTE, IN 46350-8380
(219) 325-3583
(219) 324-3583
Mailing address
2364 N US HIGHWAY 35, LA PORTE, IN 46350-8380
(219) 325-3583
(219) 324-3583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000705A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195562
ANTHEM BC/BS
IN
Enumeration date
10/27/2006
Last updated
01/04/2019
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