Provider Demographics
NPI:1851469795
Name:LAWRENCE, DESIREE M (MSW)
Entity Type:Individual
Prefix:MS
First Name:DESIREE
Middle Name:M
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10789 PARKER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46231-1075
Mailing Address - Country:US
Mailing Address - Phone:317-457-8721
Mailing Address - Fax:317-466-1710
Practice Address - Street 1:TRANSITIONAL ASSISTANCE SVC., 6100 N. KEYSTONE AVEUE
Practice Address - Street 2:SUITE 237
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-2426
Practice Address - Country:US
Practice Address - Phone:317-466-1740
Practice Address - Fax:317-466-1710
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health