Individual
TAMMY SHIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-2555
(219) 392-6001
Mailing address
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-2555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33004891A
IN
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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