Individual
ANGELA MARIE GEORGES HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
1011 MAIN ST, STE 110, INDIANAPOLIS, IN 46224-6970
(317) 957-9050
(317) 957-9952
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
(317) 621-7584
(317) 957-2705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001568A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000767918
BCBS
IN
01
—
P01424408
RAIL ROAD PTAN
IN
Enumeration date
05/14/2007
Last updated
04/14/2015
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