Individual
MRS. MINDY LYNNE GRADELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
229 EAST EWING AVENUE, SOUTH BEND, IN 46613
(877) 422-7239
Mailing address
58695 IRELAND TRAIL, MISHAWAKA, IN 46544
(574) 256-1075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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