Individual
MRS. OLIVIA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
53846 GENERATIONS DR STE A, SOUTH BEND, IN 46635-1543
(574) 276-7366
Mailing address
53846 GENERATIONS DR STE A, SOUTH BEND, IN 46635-1543
(574) 276-7366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011225A
IN
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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