Individual
CATHERINE STAPLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
2012 IRONWOOD CIR, SOUTH BEND, IN 46635-1888
(574) 387-4049
Mailing address
1116 E BRONSON ST, SOUTH BEND, IN 46615-1140
(574) 315-4320
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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