Organization
LAUS DEO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY GROFF LMFT (PRESIDENT)
(317) 474-6448
Entity
Organization
Contact information
Practice address
7425 E 86TH ST, INDIANAPOLIS, IN 46256-1207
(317) 474-6448
(317) 468-9905
Mailing address
7425 E 86TH ST, INDIANAPOLIS, IN 46256-1207
(317) 474-6448
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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