Individual
RITA KATHLEEN MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, RN
Contact information
Practice address
898 E MAIN ST, GREENWOOD, IN 46143-1407
(317) 887-1438
(317) 885-9063
Mailing address
898 E MAIN ST, GREENWOOD, IN 46143-1407
(317) 887-1438
(317) 885-9063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34000296A
IN
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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