Individual
AVALON MARCINIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 WEST 45TH ST., MUNSTER, IN 46321
(219) 243-8076
Mailing address
1432 BRIAR CROSSING DR, DYER, IN 46311-1651
(815) 529-6112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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