Individual
MARY MARGARET MATHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10058 GRACEFUL LANDING DR, INDIANAPOLIS, IN 46234-9005
(317) 690-0605
Mailing address
10058 GRACEFUL LANDING DR, INDIANAPOLIS, IN 46234-9005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005909A
IN
Other
Enumeration date
05/25/2012
Last updated
10/15/2012
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