Individual
AYERIM PATRICIA CORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 LINCOLNWAY W, MISHAWAKA, IN 46544-1711
(574) 222-2635
Mailing address
1101 LINCOLNWAY W, MISHAWAKA, IN 46544-1711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011158A
IN
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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