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Contact Information

LISA L AUTRY, M. S.W., A.C.S.W.
2125 16TH STREET
BEDFORD, IN47421
 Phone: 812-275-4053
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LISA L AUTRY · (Female)

NPI # 1760737274
Status Active
Credentials M. S.W., A.C.S.W.
Entity Individual
Enumeration date 07/20/2012
Last updated 07/20/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 34003553A
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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