Gary Mitchell Ronjak LCSW

NPI 1073644563 - Social Worker - 1041C0700X

NPI Details
NPI 1073644563
Gender Male
Enumeration Date 03/08/2007
Last Updated 07/08/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
3903 INDIANAPOLIS BLVD
EAST CHICAGO IN, 46312-2555, US
Phone (219) 398-7050
Fax (219) 392-6998
Business Location
8400 LOUISIANA ST
MERRILLVILLE IN, 46410-6385, US
Phone (219) 757-1928
Fax (219) 757-1950
Toxanomy
Taxonomy Code 1041C0700X
License State Indiana
License Number 34001073A
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According to our database, Gary Mitchell Ronjak LCSW NPI is 1073644563, taxonomy code is 1041C0700X and license number is 34001073A, license state is located at Indiana. Gary Mitchell Ronjak LCSW physically located at 3903 Indianapolis Blvd, East Chicago IN, 46312-2555. NPI Number Gary Mitchell Ronjak LCSW has the Individual type.

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1073644563 NPI number is provided on an as is basis without warranty of any kind. 1073644563 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Mitchell Ronjak LCSW are for informational purposes only.