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Organization

NEW AVENUES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA TEVERBAUGH (CHIEF FINANCIAL OFFICER)
(574) 485-1802
Entity
Organization

Contact information

Practice address
300 S SAINT LOUIS BLVD, STE 200, SOUTH BEND, IN 46617-3043
(574) 232-2131
(574) 271-5980
Mailing address
200 S ST LOUIS BLVD, STE 200, SOUTH BEND, IN 46617
(574) 232-2131
(574) 271-5980

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006551A
IN

Other

Enumeration date
09/23/2016
Last updated
09/23/2016
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