Individual
PAULA K BOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
928 E WAYNE ST, SOUTH BEND, IN 46617-3024
(574) 286-0030
Mailing address
513 DANBURY DR, GOSHEN, IN 46526-1273
(574) 533-9063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
106H0000X
IN
104100000X
Social Worker
Primary
33001365A
IN
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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