Individual
AMBER MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 NORTH KEYSTONE AVENUE, INDIANAPOLIS, IN 46205-1554
(317) 205-8220
Mailing address
8180 CLEARVISTA PARKWAY, SUITE 230 ATTN SHERRY MUELLER, INDIANAPOLIS, IN 46256-4649
(317) 621-7561
(317) 621-7470
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
Enumeration date
10/09/2009
Last updated
10/09/2009
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