Individual
KONNOR LEE ANN JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 VALPARAISO ST STE 209, VALPARAISO, IN 46383-3331
(219) 252-5464
Mailing address
2005 VALPARAISO ST STE 209, VALPARAISO, IN 46383-3331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008597A
IN
Other
Enumeration date
08/15/2019
Last updated
09/07/2021
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