Tracey Malesa-wheaton, Lcsw, Llc | |
429 W Lasalle Ave Apt 2 South Bend IN 46601-1166 | |
(574) 520-8444 | |
(574) 367-2154 |
Full Name | Tracey Malesa-wheaton, Lcsw, Llc |
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Speciality | Social Worker - Clinical |
Location | 429 W Lasalle Ave Apt 2, South Bend, Indiana |
Authorized Official Name and Position | Tracey Malesa-wheaton (OWNER) |
Authorized Official Contact | 5745204444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tracey Malesa-wheaton, Lcsw, Llc 429 W Lasalle Ave Apt 2 South Bend IN 46601-1166 Ph: (574) 520-8444 | Tracey Malesa-wheaton, Lcsw, Llc 429 W Lasalle Ave Apt 2 South Bend IN 46601-1166 Ph: (574) 520-8444 |
NPI Number | 1912696451 |
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Provider Enumeration Date | 05/02/2023 |
Last Update Date | 03/12/2024 |
Certification Date | 03/12/2024 |
Identifier | Type | State | Issuer |
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1912696451 | NPI | - | NPPES |
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