Individual
MRS. JAN RIESCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 BEACHWAY DR, SUITE C, INDIANAPOLIS, IN 46224-8506
(317) 788-4111
(317) 788-7783
Mailing address
15248 BELLE FORCH CT, CARMEL, IN 46032-1023
(317) 797-7816
(317) 844-4585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001464A
IN
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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