Constance S. Stamper, Msw, Inc. | |
501 W Bristol St Elkhart IN 46514-2964 | |
(574) 266-1891 | |
Not Available |
Full Name | Constance S. Stamper, Msw, Inc. |
---|---|
Speciality | Social Worker - Clinical |
Location | 501 W Bristol St, Elkhart, Indiana |
Authorized Official Name and Position | Constance Stamper (PRESIDENT) |
Authorized Official Contact | 5742661891 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Constance S. Stamper, Msw, Inc. 1534 Greenleaf Blvd Elkhart IN 46514-3721 Ph: () - | Constance S. Stamper, Msw, Inc. 501 W Bristol St Elkhart IN 46514-2964 Ph: (574) 266-1891 |
NPI Number | 1336233824 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 07/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336233824 | NPI | - | NPPES |
409949 | Other | VALUE OPTIONS INSURANCE | |
200285780A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34004269A (Indiana) | Primary |
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