Individual
MICHELE RISTOVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 531-3500
Mailing address
601 WALL ST, VALPARAISO, IN 46383-2512
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.010865
IL
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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