Detlefsen, Anna K

Detlefsen, Anna K is an individual health care provider with primary practice located at 50740 Princess Way Ste 500 , Granger IN 46530-4339. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Detlefsen, Anna K can be contacted via phone (574) 607-7051.

Contact Information

Primary practice address
50740 Princess Way Ste 500 Granger IN 46530-4339
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34008564A Indiana

Profile Details

NPI number 1740834324
LBN Legal business name Detlefsen, Anna K
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2019
Last updated Jul 31st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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