Individual
LISA KAY SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
655 E MAIN ST, PERU, IN 46970-2662
(765) 472-1931
(765) 472-1945
Mailing address
655 E MAIN ST, PERU, IN 46970-2662
(765) 472-1931
(765) 472-1945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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