Individual
EMMY VANDERBILT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
312 N PARK ST, CROWN POINT, IN 46307-3429
(708) 305-3603
Mailing address
312 N PARK ST, CROWN POINT, IN 46307-3429
(708) 305-3603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009773A
IN
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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