Individual
CLARE CZOLGOSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3524 MISHAWAKA AVE, SOUTH BEND, IN 46615-2424
(574) 314-5987
Mailing address
3254 VILLAGE DR, MISHAWAKA, IN 46545-3617
(847) 644-7216
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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