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Individual

PAULA BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
201 W 89TH AVE, MERRILLVILLE, IN 46410-6283
(219) 472-0066
Mailing address
633 E 92ND AVE, MERRILLVILLE, IN 46410-8119
(563) 639-4458

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326494758
RESIDENTIAL TREATMENT FACILITY
IN
Enumeration date
05/22/2018
Last updated
05/22/2018
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