Individual
PATRICIA DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1170 MARY ELLEN DR, CROWN POINT, IN 46307-7511
(219) 614-8687
Mailing address
1170 MARY ELLEN DR, CROWN POINT, IN 46307-7511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007603A
IN
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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