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Individual

DR. JEAN M NANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., HSPP

Contact information

Practice address
8124 CALUMET AVE, MUNSTER, IN 46321
(219) 852-8558
(219) 852-8558
Mailing address
PO BOX 3294, MUNSTER, IN 46321-0294
(219) 852-8558
(219) 852-8558

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043103A
IN

Other

Enumeration date
03/05/2018
Last updated
08/07/2018
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