Individual
DARIANE JO BACEWIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. ED.S NCSP IPE
Contact information
Practice address
801 CAMPBELL DR, NORTH JUDSON, IN 46366-1359
(574) 896-2128
Mailing address
2249 S 250 W, NORTH JUDSON, IN 46366-8673
(219) 510-7020
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10268930
IN
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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