Individual
MARISSA HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9135 N MERIDIAN ST STE C5, INDIANAPOLIS, IN 46260-1817
(317) 550-7649
Mailing address
6025 HAVERFORD AVE, INDIANAPOLIS, IN 46220-2007
(317) 550-7649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010610A
IN
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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