KELLY P MUCHA

SCHERERVILLE, IN
NPI1700172830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies101Y00000X Counselor
101YM0800X Counselor, Mental Health
103K00000X Behavior Analyst
104100000X Social Worker
1041S0200X Social Worker, School
Enumeration Date2011-06-27
Last Update Date2016-04-23
Business Address
-- KELLY P MUCHA LCSW
1112 US HIGHWAY 41
SCHERERVILLE, IN 46375-1361
Phone number: 219-613-0332
Mailing Address
-- KELLY P MUCHA LCSW
4524 WHITCOMB ST
GARY, IN 46408-3506
Phone number: 219-613-0332