Individual
BRIAN WORTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 MAIN ST, DYER, IN 46311-7755
(219) 367-2661
Mailing address
15100 MAIN ST., DYER, IN 46311-7755
(219) 896-2411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021832
IL
Other
Enumeration date
04/29/2020
Last updated
03/11/2021
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