| Elizabeth Aguayo Lcsw | |
|
119 Broadway Ste 108 Chesterton IN 46304-2477 | |
| (219) 281-2276 | |
| Not Available |
| Full Name | Elizabeth Aguayo Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 119 Broadway Ste 108, Chesterton, Indiana |
| Authorized Official Name and Position | Elizabeth Ann Aguayo (OWNER) |
| Authorized Official Contact | 2192812276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Aguayo Lcsw 436 Spring Canyon Dr Hebron IN 46341-8627 Ph: (219) 433-3741 | Elizabeth Aguayo Lcsw 119 Broadway Ste 108 Chesterton IN 46304-2477 Ph: (219) 281-2276 |
| NPI Number | 1104606011 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 11/24/2023 |
| Certification Date | 11/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104606011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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