Individual
CARLY SWEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 387-4313
Mailing address
215 RED COACH DR, MISHAWAKA, IN 46545-8307
(574) 387-4313
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-309816
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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