Sally Ann Primus, MSW, LCSW

NPI #1225228828 in Portage, Indiana

Provider Information

NPI Number: 1225228828
Entity Type: Individual
Name: Sally Ann Primus, MSW, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW
Enumeration Date: Jul 30, 2007
Last Updated: Jul 27, 2011

Practice Location

Address: 3176 LANCER ST
Address 2: SUITE 501
City: Portage
State: Indiana
ZIP Code: 46368
Phone: (219) 762-9557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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