Elaine G. Spicer
Social Worker, Clinical in Gary, IN. Organization (NPI-2).
NPI number1124448733
StatusActive
Last updated in NPPESApr 22, 2014
Details
- NPI
- 1124448733
- Entity type
- Organization (NPI-2)
- Legal business name
- Elaine G. Spicer
- Organization subpart
- No
- Enumeration date
- Apr 22, 2014
- Last updated
- Apr 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 34000821A | IN | Yes |
Other names
- Connect Thru Love (Other Name)
Practice location
430 S Lake StGary, IN 46403-2405
Phone 219-512-2642
Mailing address
430 S Lake StGary, IN 46403-2405
Phone 219-512-2642
Authorized official
Elaine G Spicer
Owner
2195122642
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