Individual
MRS. VELMA JEAN GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
(219) 239-2944
Mailing address
3661 POLK ST, GARY, IN 46408-1635
(219) 884-5833
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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