Search › Indiana › 103TS0200X
Damo Antwine-Jelani, NCSP
NPI 1225792427 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2650 W 35th Ave
Gary, IN 46408 - Phone
- (630) 864-0704
- Organisation at this address
- Arc Bridges, Inc
The Arc Northwest Indiana
Global Leadership Academy, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Also registered as
- 103TS0200X
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana