Individual
PAIGE R PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1531 ROCKFORD CT, KOKOMO, IN 46902-3207
(765) 453-4500
(765) 453-4525
Mailing address
1531 ROCKFORD CT, PO BOX 6459, KOKOMO, IN 46902-3207
(765) 453-4500
(765) 453-4525
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
01/24/2017
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