Organization
CONSTANCE S. STAMPER, MSW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSTANCE STAMPER MSW, LCSW (PRESIDENT)
(574) 266-1891
Entity
Organization
Contact information
Practice address
501 W BRISTOL ST, ELKHART, IN 46514-2964
(574) 266-1891
Mailing address
1534 GREENLEAF BLVD, ELKHART, IN 46514-3721
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004269A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200285780A
—
IN
01
—
409949
VALUE OPTIONS INSURANCE
—
Enumeration date
10/02/2006
Last updated
07/03/2008
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