Individual
E MAI PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9370 TYLER ST, CROWN POINT, IN 46307-2275
(219) 730-6582
Mailing address
4795 BROADWAY, GARY, IN 46409-2403
(219) 887-3688
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
99070188A
IN
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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