Individual
AMBER J BOUSHEHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2345 S LYNHURST DR STE 205, INDIANAPOLIS, IN 46241-5100
(317) 247-8900
Mailing address
1456 BENT TREE PL, GREENWOOD, IN 46143-9083
(317) 258-3170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006448A
IN
Other
Enumeration date
09/17/2007
Last updated
02/29/2012
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