Individual
MRS. RAIZY YORMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2716 PLEASANT ST, SOUTH BEND, IN 46615-1831
(574) 350-3943
Mailing address
2616 S TWYCKENHAM DR, SOUTH BEND, IN 46614-1440
(574) 350-3943
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/31/2011
Last updated
08/02/2023
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