Individual
MRS. LATRESA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(317) 472-8511
Mailing address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(317) 472-8511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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