Organization
JACKIE GASPAROVIC CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE GASPAROVIC LCSW (OWNER)
(219) 286-7258
Entity
Organization
Contact information
Practice address
2804 BOILERMAKER CT STE A, VALPARAISO, IN 46383-8418
(219) 286-7258
(219) 286-7262
Mailing address
2804 BOILERMAKER CT STE A, VALPARAISO, IN 46383-8418
(219) 286-7258
(219) 286-7262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006222A
IN
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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