Individual
DANA FEDORCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
607 LINCOLNWAY, VALPARAISO, IN 46383
(219) 548-8727
Mailing address
292 E 129TH PL, CROWN POINT, IN 46307-7861
(219) 308-5108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
33008808A
—
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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