Individual
JULIE KISSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1505 S COURT ST, CROWN POINT, IN 46307-4809
(219) 662-3730
(219) 662-6170
Mailing address
1201 S MAIN ST, CROWN POINT, IN 46307-8481
(219) 662-0635
(219) 662-6170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005146A
IN
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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