ANDREW PORTLOCK

MERRILLVILLE, IN
NPI1356913578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2021-07-15
Last Update Date2021-07-15
Business Address
ANDREW PORTLOCK
8555 TAFT ST
MERRILLVILLE, IN 46410-6123
Phone number: 219-769-4005
Mailing Address
ANDREW PORTLOCK
8555 TAFT ST
MERRILLVILLE, IN 46410-6123
Phone number:
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