Individual
JERVAI DUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1515 W 94TH PL, CROWN POINT, IN 46307-1904
(219) 314-5131
Mailing address
1515 W 94TH PL, CROWN POINT, IN 46307-1904
(219) 314-5131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009033A
IN
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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