Individual
BRADLEY WANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2040 N SHADELAND AVE, INDIANAPOLIS, IN 46219-1711
(317) 957-9737
Mailing address
941 N CHESTER AVE, INDIANAPOLIS, IN 46201-2628
(317) 957-9737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011472A
IN
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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