| Frances | |
|
219 N Dixie Way Suite 135 South Bend IN 46637-3369 | |
| (574) 220-2649 | |
| (574) 271-3740 |
| Full Name | Frances |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 219 N Dixie Way, South Bend, Indiana |
| Authorized Official Name and Position | Frances Marie Touhey (PRESIDENT) |
| Authorized Official Contact | 5742298863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frances 219 N Dixie Way Suite 135 South Bend IN 46637-3369 Ph: (574) 220-2649 | Frances 219 N Dixie Way Suite 135 South Bend IN 46637-3369 Ph: (574) 220-2649 |
| NPI Number | 1558794206 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 08/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558794206 | NPI | - | NPPES |
| 1700138492 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3400659A (Indiana) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01037643A (Indiana) | Secondary |
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