Individual
MANDA BERETTA
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) 880-2086
Mailing address
3171 N MERIDIAN ST, INDIANAPOLIS, IN 46208-4784
(317) 880-2086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007263A
IN
Other
Enumeration date
04/01/2016
Last updated
07/03/2019
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