Individual
KIMBERLY ANGELICA CONGRESS-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
Mailing address
2374 NEPTUNE ST, PORTAGE, IN 46368-7709
(219) 381-9414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33005839A
IN
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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