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Individual

PATRICIA ANN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
610 E SOUTHPORT RD, SUITE 100, INDIANAPOLIS, IN 46227-8590
(317) 783-8383
(317) 782-6929
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4886
(317) 859-8239

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1481
KY
1041C0700X
Clinical Social Worker
Primary
34005569A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000384273
ANTHEM BC/BS
KY
01
1218723
CHA HEALTH
KY
Enumeration date
10/27/2006
Last updated
04/23/2015
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