Organization
ELAINE G. SPICER
Active
Other names
Connect Thru Love
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE G SPICER LCSW (OWNER)
(219) 512-2642
Entity
Organization
Contact information
Practice address
430 S LAKE ST, GARY, IN 46403-2405
(219) 512-2642
Mailing address
430 S LAKE ST, GARY, IN 46403-2405
(219) 512-2642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000821A
IN
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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