Individual
MS. KELLY HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 RIDGEDALE RD, SOUTH BEND, IN 46614-2243
(574) 231-8000
(574) 231-8013
Mailing address
1920 RIDGEDALE RD, SOUTH BEND, IN 46614-2243
(574) 231-8000
(574) 231-8013
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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