Individual
PEGGY RUTH PAYONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2490 CENTRAL AVE, STE D, LAKE STATION, IN 46405-2122
(219) 962-4040
(219) 960-4042
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1928
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004369A
IN
Other
Enumeration date
08/01/2005
Last updated
05/25/2011
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