Jackie Gasparovic Corp.

NPI #1427547744 in Valparaiso, Indiana

Provider Information

NPI Number: 1427547744
Entity Type: Organization
Organization Name: Jackie Gasparovic Corp.
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 2, 2018
Last Updated: May 2, 2018

Practice Location

Address: 2804 BOILERMAKER CT STE A
City: Valparaiso
State: Indiana
ZIP Code: 46383-8418
Phone: (219) 286-7258

Authorized Official

Name: JACQUELINE GASPAROVIC, LCSW
Title: OWNER
Phone: (219) 286-7258

Specialties & Taxonomy Codes

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

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