Individual
MRS. DIANNE TERESA COSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
2240 E 53RD ST, INDIANAPOLIS, IN 46220-3479
(317) 933-7047
Mailing address
PO BOX 746720, ATLANTA, GA 30374-6720
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33005601A
IN
1041C0700X
Clinical Social Worker
Primary
34009656A
IN
Other
Enumeration date
07/23/2009
Last updated
06/06/2023
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