Individual
LAUREEN POINSATTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 283-5839
Mailing address
53384 OLIVE RD, SOUTH BEND, IN 46628-9445
(574) 323-8633
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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