Individual
MS. LYNN KAMIAK ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
52371 ZELLERS ST, GRANGER, IN 46530-9499
(574) 360-8345
Mailing address
52371 ZELLERS ST, GRANGER, IN 46530-9499
(574) 360-8345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006851A
IN
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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