Individual
MRS. AMY J. THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
416 EAST 86 AVE., MERRILLVILLE, IN 46410
(219) 242-3223
(219) 531-8929
Mailing address
416 EAST 86 AVE., MERRILLVILLE, IN 46410
(219) 242-3223
(219) 525-4584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005364A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34005364A
PROFESSIONAL LICENSE
IN
Enumeration date
03/20/2012
Last updated
10/12/2017
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