Organization
BRIANNA E. YODER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA E YODER LCSW (OWNER)
(574) 206-9813
Entity
Organization
Contact information
Practice address
2801 E BRISTOL ST, STE B, ELKHART, IN 46514-4386
(574) 206-9813
(866) 568-9798
Mailing address
2801 E BRISTOL ST, STE B, ELKHART, IN 46514-4386
(574) 206-9813
(866) 568-9798
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005748A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201192290A
—
IN
Enumeration date
02/13/2014
Last updated
02/13/2014
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