Individual
ELIZABETH ANNE TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
420 W 4TH ST, SUITE 100-A, MISHAWAKA, IN 46544-1948
(574) 252-0369
(574) 252-3694
Mailing address
PO BOX 6489, SOUTH BEND, IN 46660-6489
(574) 472-6700
(574) 472-6746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004291A
IN
171M00000X
Case Manager/Care Coordinator
34004291A
IN
Other
Enumeration date
10/28/2008
Last updated
07/29/2020
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