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Individual

MR. PAUL BRIAN SEXTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601-1074
(574) 280-8199
Mailing address
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601-1074
(574) 280-8199

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
131117
WI
1041C0700X
Clinical Social Worker
Primary
9510-123
WI
1041C0700X
Clinical Social Worker

Other

Enumeration date
09/04/2018
Last updated
08/06/2021
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