Individual
MS. CONSTANCE ANNE STAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
501 WEST BRISTOL STREET, ELKHART, IN 46514-2964
(574) 266-1891
(574) 266-1671
Mailing address
1534 GREENLEAF BOULEVARD, ELKHART, IN 46514-3721
(574) 266-1891
(574) 266-1671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004269A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
409949
VALUE OPTIONS
—
Enumeration date
10/11/2006
Last updated
07/08/2007
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