Individual
MS. JACQUELINE D REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
Mailing address
4932 PENNSYLVANIA ST, GARY, IN 46409-2737
(219) 290-6742
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IN
172V00000X
Community Health Worker
—
IN
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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