Individual
CHRISTINE CUDDEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7224 W 400 N, MICHIGAN CITY, IN 46360-2903
(219) 879-4621
Mailing address
7224 W 400 N, MICHIGAN CITY, IN 46360-2903
(219) 879-4621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008425A
IN
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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