Individual
MS. LAURA MAXWELL REDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
705 RILEY HOSPITAL DR, RM 4300, INDIANAPOLIS, IN 46202-5109
(317) 944-8162
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001794A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34001794A
SOCIAL WORK LICENSE
IN
Enumeration date
06/22/2011
Last updated
02/26/2020
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