Individual
ANDREA M LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20000 BARTON RD, EVANSVILLE, IN 47725-7845
(812) 455-1371
Mailing address
PO BOX 112, ELBERFELD, IN 47613-0112
(812) 455-1371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007555A
IN
Other
Enumeration date
09/15/2016
Last updated
09/18/2020
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