Individual
AMANDA PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
320 N TIBBS AVE, INDIANAPOLIS, IN 46222-4064
(317) 630-5215
Mailing address
320 N TIBBS AVE, INDIANAPOLIS, IN 46222-4064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005490A
IN
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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