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Individual

MRS. LYDIA GRACE OSCARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3220 E JEFFERSON BLVD, SOUTH BEND, IN 46615-3028
(574) 222-2466
Mailing address
2224 PINE CREEK CT, SOUTH BEND, IN 46628-4093
(574) 318-0366

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33011786A
IN

Other

Enumeration date
03/03/2026
Last updated
03/03/2026
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