Individual
MRS. MARY CEIL HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000275A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000387210
BLUE CROSS BLUE SHIELD
IN
Enumeration date
01/26/2007
Last updated
03/25/2014
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