Individual
HOPE KERNS-PYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Mailing address
800 FULTON ST, LOGANSPORT, IN 46947-1577
(574) 722-5151
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005360A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34005360A
LICENSE
IN
Enumeration date
09/27/2007
Last updated
01/19/2016
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