Organization
KIDWORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA MANGAN (DIRECTOR OF OPERATIONS)
(219) 983-9675
Entity
Organization
Contact information
Practice address
1120 S CALUMET RD, SUITE3, CHESTERTON, IN 46304-3285
(219) 983-9675
(219) 983-9681
Mailing address
1120 S CALUMET RD, SUITE 3, CHESTERTON, IN 46304-3285
(219) 983-9675
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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