Individual
JAMIE SELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N HICKORY RD STE 3, SOUTH BEND, IN 46615-3700
(574) 314-5987
Mailing address
1008 ANGELA DR APT F, LAKEVILLE, IN 46536-9273
(574) 225-2524
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IN
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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