Individual
STEPHANIE LYNN METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2407 N 500 W, LA PORTE, IN 46350-9765
(219) 326-1188
Mailing address
1905 INDIANA AVE, LA PORTE, IN 46350-6005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004741A
IN
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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