Individual
NANCY SPIEGLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
356 S BOO RD, BURNS HARBOR, IN 46304-9749
(219) 617-3062
Mailing address
356 S BOO RD, BURNS HARBOR, IN 46304-9749
(219) 617-3062
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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