Individual
MS. JENNIFER RAE STRAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1505 S COURT ST STE 201, CROWN POINT, IN 46307-4809
(219) 662-3731
Mailing address
1201 S MAIN ST, CROWN POINT, IN 46307-8481
(219) 662-3731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005667A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811023005
374 ST. ANTHONY HEALTHNETWORK BLUE CROSS AND BLUE SHIELD
IN
Enumeration date
02/24/2007
Last updated
02/27/2017
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