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Individual

MS. JEAN ROSENGARTEN DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LMFT

Contact information

Practice address
616 E COLFAX AVE, SOUTH BEND, IN 46617-2827
(574) 261-1255
(574) 289-7000
Mailing address
616 E. COLFAX AVENUE, SOUTH BEND, IN 46617
(812) 649-2936
(812) 649-2936

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000496A
IN
106H00000X
Marriage & Family Therapist
35000827A
IN

Other

Enumeration date
11/07/2005
Last updated
02/15/2013
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