Individual
LINDA CHRISTOPHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 537-2680
Mailing address
818 S. 7TH ST., GOSHEN, IN 46526
(574) 536-8283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801074681
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801074681
SOCIAL WORK LICENSE
IN
Enumeration date
04/18/2019
Last updated
06/11/2019
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