Individual
MR. GARY D SECREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 531-3500
(219) 462-3975
Mailing address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 531-3500
(219) 462-3975
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39001489A
IN
Other
Enumeration date
01/02/2006
Last updated
08/09/2007
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