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Individual

DAWN MARIE NOWAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADAC II, LAC, MA

Contact information

Practice address
5001 EAST DUNES HIGHWAY, GARY, IN 46403-3114
(219) 938-4651
(219) 938-4679
Mailing address
809 CARDINAL CT, HOBART, IN 46342-5058
(219) 973-7720

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000390A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
CII-1907
IN

Other

Enumeration date
09/18/2017
Last updated
02/23/2021
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