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Individual

RANDI IRWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
115 N WILLIAM ST STE 302, SOUTH BEND, IN 46601-1509
(574) 383-6617
Mailing address
115 N WILLIAM ST STE 302, SOUTH BEND, IN 46601-1509
(574) 383-6617

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
39004784A
IN

Other

Enumeration date
01/17/2019
Last updated
09/20/2024
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