Individual
AMANDA B KONTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 H ST, LA PORTE, IN 46350-4862
(219) 670-9829
Mailing address
512 H ST, LA PORTE, IN 46350-4862
(219) 670-9829
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009702A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33009702A
—
IN
Enumeration date
10/05/2020
Last updated
07/21/2025
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