Individual
MS. ELNORA G CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3529 PIERCE ST, GARY, IN 46408-1545
(219) 980-4669
Mailing address
3529 PIERCE ST, GARY, IN 46408-1545
(219) 980-4669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001735
IN
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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