Individual
KATENA DEMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 234-0061
(574) 283-1209
Mailing address
71079 ALDRICH LAKE RD, STURGIS, MI 49091-9234
(574) 286-7745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004324A
IN
Other
Enumeration date
02/27/2006
Last updated
02/19/2016
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