Individual
PAMELA L. RUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.S.W., LCSW
Contact information
Practice address
25 BEACHWAY DR, SUITE C, INDIANAPOLIS, IN 46224-8506
(317) 788-4111
(317) 788-7783
Mailing address
25 BEACHWAY DR, SUITE C, INDIANAPOLIS, IN 46224-8506
(317) 788-4111
(317) 788-7783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001241A
IN
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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