Organization
GWENDOLYN DEHORN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN DEHORN LCSW (OWNER)
(574) 298-9708
Entity
Organization
Contact information
Practice address
300 S SAINT LOUIS BLVD STE 204, SOUTH BEND, IN 46617-3044
(574) 245-3920
Mailing address
300 S SAINT LOUIS BLVD STE 204, SOUTH BEND, IN 46617-3044
(574) 245-3920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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