Individual
IKE SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 S MICHIGAN ST, SOUTH BEND, IN 46601-3426
(574) 235-5427
Mailing address
1000 S MICHIGAN ST, SOUTH BEND, IN 46601-3426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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