Alyssa Carl Pc | |
225 N Notre Dame Ave Ste 5 South Bend IN 46617-2836 | |
(517) 410-6093 | |
Not Available |
Full Name | Alyssa Carl Pc |
---|---|
Speciality | Social Worker - Clinical |
Location | 225 N Notre Dame Ave Ste 5, South Bend, Indiana |
Authorized Official Name and Position | Alyssa H Carl (OWNER) |
Authorized Official Contact | 5174106093 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alyssa Carl Pc 55934 Teton Cir Middlebury IN 46540-8795 Ph: (517) 410-6093 | Alyssa Carl Pc 225 N Notre Dame Ave Ste 5 South Bend IN 46617-2836 Ph: (517) 410-6093 |
NPI Number | 1164169538 |
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Provider Enumeration Date | 05/17/2022 |
Last Update Date | 05/17/2022 |
Certification Date | 05/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164169538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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