Individual
TERESA PAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/LSW
Contact information
Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 476-4672
(219) 548-2091
Mailing address
2301 CUMBERLAND DR, VALPARAISO, IN 46383-2505
(219) 476-4672
(219) 548-2091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33003153A
IN
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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