Individual
KEITH WYGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5900 HOHMAN AVE, HAMMOND, IN 46320-2423
(219) 931-0427
(219) 931-0427
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1928
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005872A
IN
Other
Enumeration date
06/24/2009
Last updated
05/25/2011
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