Individual
ELAINE SPICER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1225 N WARREN ST, GARY, IN 46403-1560
(219) 512-2642
Mailing address
1225 N WARREN ST, GARY, IN 46403-1560
(219) 512-2642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000821A
IN
Other
Enumeration date
06/13/2010
Last updated
06/13/2010
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