Individual
LAUREN K. STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 VALPARAISO ST STE 209, VALPARAISO, IN 46383-3331
(219) 252-5464
Mailing address
6982 FILLMORE DR, MERRILLVILLE, IN 46410-3360
(219) 299-5953
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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