Individual
BRENDA WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17903 S.R. 23, SUITE #3, SOUTH BEND, IN 46635
(574) 243-7730
(574) 243-7735
Mailing address
54410 NORTHERN AVE, SOUTH BEND, IN 46635-1632
(574) 273-9514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001342
IN
Other
Enumeration date
03/07/2006
Last updated
11/20/2010
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