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Individual

DR. MARIANNE S CASTANO BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EDD, MED, MS, LMHCA

Contact information

Practice address
3516 E JEFFERSON BLVD, SOUTH BEND, IN 46615-3034
(574) 287-4197
Mailing address
1001 S 31ST ST, SOUTH BEND, IN 46615-1821
(781) 367-7080

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000328A
IN

Other

Enumeration date
11/27/2017
Last updated
03/17/2018
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