Individual
MS. MARY C DUGAN-MARX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
612 S 20TH ST, CHESTERTON, IN 46304-2762
(219) 916-4271
Mailing address
612 S 20TH ST, CHESTERTON, IN 46304-2762
(219) 916-4271
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005614A
IN
Other
Enumeration date
09/14/2010
Last updated
09/15/2010
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