LISA LYNNE AUTRY

BEDFORD, IN
NPI1760737274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34003553A)
Enumeration Date2012-07-20
Last Update Date2012-07-20
Business Address
Mrs. LISA LYNNE AUTRY M. S.W., A.C.S.W.
2125 16TH STREET
BEDFORD, IN 47421
Phone number: 812-275-4053
Mailing Address
Mrs. LISA LYNNE AUTRY M. S.W., A.C.S.W.
4001 ROSEWOOD DRIVE
BLOOMINGTON, IN 47404
Phone number: 812-929-2747