Lifes Milestones | |
245 W. Johnson Rd. Laporte IN 46350 | |
(219) 258-4163 | |
(219) 209-5691 |
Full Name | Lifes Milestones |
---|---|
Speciality | Social Worker - Clinical |
Location | 245 W. Johnson Rd., Laporte, Indiana |
Authorized Official Name and Position | Rosina M. Robinson (SOLE OWNER) |
Authorized Official Contact | 5745208049 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifes Milestones 245 W. Johnson Rd. Laporte IN 46350 Ph: (219) 258-4163 | Lifes Milestones 245 W. Johnson Rd. Laporte IN 46350 Ph: (219) 258-4163 |
NPI Number | 1457635625 |
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Provider Enumeration Date | 10/05/2011 |
Last Update Date | 07/12/2021 |
Certification Date | 07/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457635625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34005879A (Indiana) | Primary |