Individual
LEA ANNE EINTERZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
402 W WASHINGTON ST, SOUTH BEND, IN 46601-1526
(574) 302-2461
Mailing address
307 LAMONTE TER, SOUTH BEND, IN 46616-1357
(574) 302-2461
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009186A
IN
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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