Bethany Rose Irvine, MSW, LCSW
Social Worker, Clinical in Indianapolis, IN. Individual provider (NPI-1).
NPI number1609024389
StatusActive
Last updated in NPPESDec 20, 2013
Details
- NPI
- 1609024389
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Bethany Rose Irvine
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2008
- Last updated
- Dec 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 34006818A | IN | Yes |
Practice location
5638 Professional CirIndianapolis, IN 46241-5042
Phone 317-247-8900 · Fax 317-247-8935
Mailing address
5638 Professional CirIndianapolis, IN 46241-5042
Phone 317-247-8900 · Fax 317-247-8935
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