Kristen Prock MSW

NPI 1760669444 - Social Worker - 104100000X

NPI Details
NPI 1760669444
Gender Female
Enumeration Date 01/25/2008
Last Updated 01/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
403 E MADISON ST
SOUTH BEND IN, 46617-2322, US
Phone (574) 283-1107
Fax (574) 283-1131
Business Location
403 E MADISON ST
SOUTH BEND IN, 46617-2322, US
Phone (574) 283-1107
Fax (574) 283-1131
Toxanomy
Taxonomy Code 104100000X
License State
License Number
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According to our database, Kristen Prock MSW NPI is 1760669444, taxonomy code is 104100000X Kristen Prock MSW physically located at 403 E Madison St, South Bend IN, 46617-2322. NPI Number Kristen Prock MSW has the Individual type.

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1760669444 NPI number is provided on an as is basis without warranty of any kind. 1760669444 is maintained by the National Plan & Provider Enumeration System. The contents of Kristen Prock MSW are for informational purposes only.