Individual
REBECCA GROMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8410 WICKER AVE, SAINT JOHN, IN 46373-9710
(219) 365-8507
Mailing address
8410 WICKER AVE, SAINT JOHN, IN 46373-9710
(219) 365-8507
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1555669
IN
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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