Individual
ANDREW VISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 ESKENAZI AVENUE, OCC, LL, PARC RESEARCH, RM CL-500, INDIANAPOLIS, IN 46202
(317) 880-8438
Mailing address
720 ESKENAZI AVENUE, OCC, LL, PARC RESEARCH, RM CL-500, INDIANAPOLIS, IN 46202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010439A
IN
Other
Enumeration date
07/03/2019
Last updated
07/11/2023
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