| Angela M Henry Msw | |
|
1801 Bader Ave South Bend IN 46617-2523 | |
| (574) 233-5595 | |
| (574) 282-1770 |
| Full Name | Angela M Henry Msw |
|---|---|
| Speciality | Social Worker |
| Location | 1801 Bader Ave, South Bend, Indiana |
| Authorized Official Name and Position | Angela M Henry (PRESIDENT) |
| Authorized Official Contact | 5742335595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela M Henry Msw 1801 Bader Ave South Bend IN 46617-2523 Ph: (574) 233-5595 | Angela M Henry Msw 1801 Bader Ave South Bend IN 46617-2523 Ph: (574) 233-5595 |
| NPI Number | 1922267194 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922267194 | NPI | - | NPPES |
| 200732930 | Medicaid | IN | |
| 200678030 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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