Individual
CARLA MATHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 NORTH RITTER AVENUE, INDIANAPOLIS, IN 46219-3027
(317) 621-7631
(317) 621-4700
Mailing address
6626 E 75TH STREET, STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003336A
IN
Other
Enumeration date
04/21/2011
Last updated
03/18/2014
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