Individual
MS. ALICIA K NUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1621 W 12TH AVE, GARY, IN 46404-2407
(219) 713-0994
Mailing address
1621 W 12TH AVE, GARY, IN 46404-2407
(219) 713-0994
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
34004963A
IN
1041C0700X
Clinical Social Worker
Primary
34004963A
IN
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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