Individual
KIMBERLY J AVANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
226 E WOODSIDE ST, SOUTH BEND, IN 46614-1116
(269) 240-7711
Mailing address
226 E WOODSIDE ST, SOUTH BEND, IN 46614-1116
(269) 240-7711
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
6801082332
MI
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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