Individual
LORI BERESFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 E VERMONT ST STE 110, INDIANAPOLIS, IN 46202-3685
(317) 559-0950
Mailing address
PO BOX 586, GALLOWAY, OH 43119-0586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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