Individual
LUANA S. KRIEGER-BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3303 PINES VILLAGE CIR, VALPARAISO, IN 46383-2660
(219) 465-1591
Mailing address
1406 WOOD ST, VALPARAISO, IN 46383-5145
(219) 462-4966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005291A
IN
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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