Individual
LYNNETTE ROSA BIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 988-5631
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2884
(317) 554-0000
(317) 988-5631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33003467A
IN
Other
Enumeration date
09/17/2020
Last updated
09/18/2020
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