Individual
MRS. DEBRA JANE LEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1730 E LINCOLNWAY, LA PORTE, IN 46350
(219) 324-3325
(219) 324-3324
Mailing address
PO BOX 340, ROLLING PRAIRIE, IN 46371
(219) 324-3325
(219) 324-3324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34003713A
IN
1041C0700X
Clinical Social Worker
Primary
34003713A/87001021A
IN
Other
Enumeration date
10/23/2007
Last updated
06/19/2012
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