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Individual

MICHELLE LYNN COUTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
611 LINCOLN WAY E, SOUTH BEND, IN 46601-3212
(574) 360-4066
Mailing address
4024 YORK RD, SOUTH BEND, IN 46614-2719
(574) 360-0032

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009512A
IN

Other

Enumeration date
06/30/2022
Last updated
08/15/2023
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