Individual
MARJORIE D CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3000 S STATE ROAD 135, GREENWOOD, IN 46143-9607
(317) 535-4075
(317) 535-4076
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001363A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000847977
ANTHEM BCBS
IN
Enumeration date
03/03/2008
Last updated
05/12/2014
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