Individual
AMANDA L RHOADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3220 E JEFFERSON BLVD, SOUTH BEND, IN 46615-3028
(574) 222-2466
(574) 222-2468
Mailing address
22080 SANDY HILL LN, SOUTH BEND, IN 46628-9391
(574) 855-4644
(574) 222-2468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005440A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201241560
—
IN
Enumeration date
02/04/2008
Last updated
03/03/2021
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