Individual
MS. MARY FRANCES BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT, CAS
Contact information
Practice address
6801 GRAY RD STE A, INDIANAPOLIS, IN 46237-3238
(317) 432-3137
Mailing address
6801 GRAY RD STE A, INDIANAPOLIS, IN 46237-3238
(317) 432-3137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002517A
IN
106H00000X
Marriage & Family Therapist
35001276A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000309040
ANTHEM INSURANCE
—
Enumeration date
11/14/2006
Last updated
08/26/2024
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