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Organization

MIDWEST INSTITUTE OF TRAINING AND DEVELOPMENT

Active
Other names
Kay Grask Counseling and Consulting
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KAY A GRASK LCSW, LMFT (VP)
(574) 292-6553
Entity
Organization

Contact information

Practice address
211 W WASHINGTON ST, STE 1910, SOUTH BEND, IN 46601-1711
(574) 292-6553
(574) 232-0124
Mailing address
211 W WASHINGTON ST, STE 1910, SOUTH BEND, IN 46601-1711
(574) 292-6553
(574) 232-0124

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000195A
IN
106H00000X
Marriage & Family Therapist
35000665A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100460830A
IN
Enumeration date
01/12/2009
Last updated
01/12/2009
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