Individual
AMY RAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
15 BOLTON PL, BROCKTON, MA 02301-5316
(508) 427-4383
(508) 584-4328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
101959
CA
1041C0700X
Clinical Social Worker
113516
MA
1041C0700X
Clinical Social Worker
Primary
34009153A
IN
Other
Enumeration date
11/23/2010
Last updated
11/18/2021
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