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Individual

MS. DELANEY RAE KIRKENDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
300 WILE ST STE 2, LA PORTE, IN 46350-5672
(574) 215-2612
Mailing address
1920 W EWING AVE, SOUTH BEND, IN 46613-1327
(574) 215-2612

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011746A

Other

Enumeration date
04/17/2026
Last updated
04/17/2026
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