Individual
MS. MARY BETH WEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
720 ESKENAZI AVE FL 2, INDIANAPOLIS, IN 46202-5189
(317) 880-7000
(317) 880-0526
Mailing address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5166
(317) 880-6030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007266A
IN
Other
Enumeration date
06/11/2015
Last updated
05/19/2022
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