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1841490901
KEVIN A. KOMOSA
GARY, IN
NPI
1841490901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IN 34002375A)
Enumeration Date
2007-07-18
Last Update Date
2009-01-08
Business Address
Mr. KEVIN A. KOMOSA LCSW
8221 OAK AVE
GARY, IN 46403-1477
Phone number: 219-938-9482
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Mailing Address
Mr. KEVIN A. KOMOSA LCSW
8221 OAK AVE
GARY, IN 46403-1477
Phone number: 219-938-9482
Copy
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