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Individual

LISA J DULCET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
150 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
(574) 232-5065
Mailing address
150 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
(574) 232-5065

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
34006380A
IN

Other

Enumeration date
07/28/2009
Last updated
10/24/2016
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