Individual
JUDY DAVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6922 LINDBERG AVE, HAMMOND, IN 46323-2135
(219) 448-2851
Mailing address
6922 LINDBERG AVE, HAMMOND, IN 46323-2135
(219) 448-2851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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