Individual
PAMELA JEAN STOPCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
611 E DOUGLAS RD, SUITE 405, MISHAWAKA, IN 46545-1464
(574) 335-6392
Mailing address
23077 BRICK RD, SOUTH BEND, IN 46628-9720
(574) 274-9174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004027A
IN
Other
Enumeration date
03/06/2007
Last updated
06/10/2010
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