Individual
MARY SUZANNE JANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
921 E 86TH ST STE 206, INDIANAPOLIS, IN 46240-1841
(812) 805-0082
Mailing address
12932 DESPLAINES DR, FISHERS, IN 46037-7827
(317) 407-8198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004322A
IN
Other
Enumeration date
09/17/2013
Last updated
06/24/2024
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