Individual
ALICE GOERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 283-1107
(574) 283-1256
Mailing address
20100 COUNTY ROAD 14, BRISTOL, IN 46507-9192
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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