Individual
AMANDA ELIZABETH AVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6130 MICHIGAN RD, INDIANAPOLIS, IN 46228-1200
(317) 925-2833
(317) 896-0360
Mailing address
15231 DRY CREEK RD, NOBLESVILLE, IN 46060-4642
(317) 416-1476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007109A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201225250A
—
IN
Enumeration date
06/25/2017
Last updated
06/25/2017
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