Individual
MRS. ANGELA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2428 SEA HORSE ST, PORTAGE, IN 46368-6509
(219) 841-2316
Mailing address
2428 SEA HORSE ST, PORTAGE, IN 46368-6509
(219) 841-2316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008103A
IN
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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