Individual
JENNIFER ANN COWGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
196 CHATEAU DR, DYER, IN 46311-2154
(219) 902-2723
Mailing address
196 CHATEAU DR, DYER, IN 46311-2154
(121) 990-2272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006133A
IN
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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