Individual
AMY MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3930 W 78TH CT, APT 10, MERRILLVILLE, IN 46410-8704
(317) 442-8711
Mailing address
3930 W 78TH CT, APT 10, MERRILLVILLE, IN 46410-8704
(317) 442-8711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007244A
IN
Other
Enumeration date
08/19/2015
Last updated
01/04/2017
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