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Individual

MARY B BELTRAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1500 N RITTER AVENUE, INDIANAPOLIS, IN 46219-3027
(317) 355-2560
(317) 351-2418
Mailing address
6767 SPRINGBROOK NORTH DR, INDIANAPOLIS, IN 46219
(317) 356-9995

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
34006192A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100270530
IN
Enumeration date
09/23/2009
Last updated
09/12/2012
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