Individual
SARAH DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
611 LINCOLN WAY E, SOUTH BEND, IN 46601-3220
(574) 360-4066
Mailing address
611 LINCOLN WAY E, SOUTH BEND, IN 46601-3220
(574) 360-4066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33007137A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201146720A
—
IN
Enumeration date
07/13/2015
Last updated
07/13/2015
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