Individual
BETH E BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5230 E STOP 11 RD STE 350, INDIANAPOLIS, IN 46237-6402
(317) 783-8383
(317) 782-6929
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004658A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34004658A
LICENSE
IN
Enumeration date
07/19/2012
Last updated
03/17/2021
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