Individual
BRENDA MARIE FALCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3575 MOREAU CT, SOUTH BEND, IN 46628-4387
(574) 229-7763
Mailing address
60684 LILAC RD, SOUTH BEND, IN 46614-9296
(574) 229-7763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33006792A
IN
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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