Individual
MR. FRANCIS G SAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
150 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
(574) 232-5065
(574) 232-5386
Mailing address
150 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
(574) 232-5065
(574) 232-5386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002397A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34002397A
STATE OF INDIANA LICENSE
IN
Enumeration date
07/19/2006
Last updated
10/05/2011
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