Individual
JAMIE P REINEBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 S 33RD ST, SOUTH BEND, IN 46615-1913
(574) 520-9907
Mailing address
1001 S 33RD ST, SOUTH BEND, IN 46615-1913
(574) 574-5209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006865A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IN
Enumeration date
10/11/2006
Last updated
05/29/2024
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