Individual
MRS. GINA ELIZABETH DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(800) 360-8387
Mailing address
1700 E 38TH ST, MARION, IN 46953-4568
(800) 360-8387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014558
IL
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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