Individual
MRS. MARY COURTNEY MONNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LCSW
Contact information
Practice address
54379 30TH ST, SOUTH BEND, IN 46635-2002
(574) 855-4076
(574) 855-4076
Mailing address
54379 30TH ST, SOUTH BEND, IN 46635-2002
(574) 855-4076
(574) 855-4076
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006005A
IN
163W00000X
Registered Nurse
28139218
IN
Other
Enumeration date
11/26/2007
Last updated
09/30/2010
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