Most Relevant Information
Provider Data
| NPI Number: | 1003411513 |
| Provider Name: | LISETTE NUNEZ BERMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/02/2020 |
| Last Updated: | 12/02/2020 |
Provider Practice Location
7941 CASTLEWAY DR
INDIANAPOLIS
IN
462501953
Practice Location Phone/Fax
| Phone: | 3177759957 |
| Fax: |
Provider Mailing Location
7941 CASTLEWAY DR
INDIANAPOLIS
IN
462501953
Provider Mailing Phone/Fax
| Phone: | 3177759957 |
| Fax: |