Individual
MS. ELLEN MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7108 BROADWAY APT 1A, MERRILLVILLE, IN 46410-3469
(219) 810-5372
Mailing address
8101 POLO CLUB DR STE 6, MERRILLVILLE, IN 46410-5870
(219) 810-5372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008991A
IN
Other
Enumeration date
10/17/2020
Last updated
02/07/2023
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