Individual
MR. KEVIN A. KOMOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8221 OAK AVE, GARY, IN 46403-1477
(219) 938-9482
Mailing address
8221 OAK AVE, GARY, IN 46403-1477
(219) 938-9482
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34002375A
IN
Other
Enumeration date
07/18/2007
Last updated
01/08/2009
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