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Organization

SOCIAL WERX, LLC

Active
Other names
Social Werx, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA COMER LCSW,LCAC (CEO)
(219) 670-3655
Entity
Organization

Contact information

Practice address
2912 W 84TH PL, MERRILLVILLE, IN 46410-7288
(219) 670-0365
Mailing address
2912 W 84TH PL, MERRILLVILLE, IN 46410-7288
(219) 670-0365

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477121879
IN
Enumeration date
06/16/2021
Last updated
06/16/2021
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