| Gwendolyn Dehorn Lcsw Llc | |
|
300 S Saint Louis Blvd Ste 204 South Bend IN 46617-3044 | |
| (574) 245-3920 | |
| Not Available |
| Full Name | Gwendolyn Dehorn Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 300 S Saint Louis Blvd Ste 204, South Bend, Indiana |
| Authorized Official Name and Position | Gwendolyn Dehorn (OWNER) |
| Authorized Official Contact | 5742989708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwendolyn Dehorn Lcsw Llc 300 S Saint Louis Blvd Ste 204 South Bend IN 46617-3044 Ph: (574) 245-3920 | Gwendolyn Dehorn Lcsw Llc 300 S Saint Louis Blvd Ste 204 South Bend IN 46617-3044 Ph: (574) 245-3920 |
| NPI Number | 1851159289 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851159289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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