Individual
MRS. MARILYN M. CARUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 E 21ST AVE, GARY, IN 46407-2618
(219) 886-1320
(219) 886-1319
Mailing address
308 E 21ST AVE, GARY, IN 46407-2618
(219) 886-1320
(219) 886-1319
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33001019A
IN
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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