Individual
DORA MARTIN-EASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
505 E NORTH VILLAGE DR, SHIPSHEWANA, IN 46565-8662
(260) 383-2322
(260) 383-2422
Mailing address
PO BOX 216, MIDDLEBURY, IN 46540-0216
(260) 383-2322
(260) 383-2422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006714A
IN
Other
Enumeration date
06/09/2010
Last updated
04/01/2023
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