Individual
ALEXANDER MICHAEL SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
8626 E 116TH ST STE 250, FISHERS, IN 46038-2853
(317) 759-4550
Mailing address
1501 DOUGLAS DR, CARMEL, IN 46033-2324
(317) 696-3147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33010500A
IN
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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