Individual
LISA BARLOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 476-4586
Mailing address
3333 LINCOLN ST, HIGHLAND, IN 46322-2171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/01/2009
Last updated
06/13/2012
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