Individual
DEBRA S BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
29861 FLORIDA AVE, ELKHART, IN 46516-1351
(574) 607-1110
(574) 607-1110
Mailing address
29861 FLORIDA AVENUE, ELKHART, IN 46516
(574) 607-1110
(574) 607-1110
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
01/03/2018
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