Individual
LAURA MARIE LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9165 OTIS AVE STE 215, INDIANAPOLIS, IN 46216-2316
(317) 794-3758
Mailing address
9165 OTIS AVE STE 215, INDIANAPOLIS, IN 46216-2316
(317) 794-3758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008913A
IN
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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