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Contact Information

CLARYCE V BURRIS, LCSW,CADACIV,NCAC II
1950 W 86TH ST
INDIANAPOLIS, IN46260-2076
 Phone: 317-824-1725
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CLARYCE V BURRIS · (Female)

NPI Number 1689996811
Status Active
Credentials LCSW,CADACIV,NCAC II
Entity Individual
Enumeration date 02/15/2010
Last updated 02/15/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 340001113A
  • IN License # TO BE GRANDFATHERED
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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