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Organization

ANGELA M HENRY MSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA M HENRY MSW (PRESIDENT)
(574) 233-5595
Entity
Organization

Contact information

Practice address
1801 BADER AVE, SOUTH BEND, IN 46617-2523
(574) 233-5595
(574) 282-1770
Mailing address
1801 BADER AVE, SOUTH BEND, IN 46617-2523
(574) 233-5595
(574) 282-1770

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200678030
IN
05
200732930
IN
Enumeration date
06/03/2008
Last updated
06/03/2008
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Product
  • Claims
  • Eligibility checks
  • EDI platform