Individual
ELIZABETH TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
707 CEDAR ST STE 100, SOUTH BEND, IN 46617-2056
(574) 335-4687
Mailing address
707 CEDAR ST STE 100, SOUTH BEND, IN 46617-2056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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