Individual
JORDANA BOTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
233 E 84TH AVE SUITE 205, MERRILLVILLE, IN 46410-0004
(219) 730-6939
Mailing address
233 E 84TH AVE SUITE 205, MERRILLVILLE, IN 46410-0004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33008456A
IN
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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