Individual
MRS. LEEAH HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S WILLIAM ST, SOUTH BEND, IN 46601-2515
(574) 234-2870
Mailing address
201 S WILLIAM ST, SOUTH BEND, IN 46601-2515
(574) 234-2870
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200866010
—
IN
Enumeration date
10/28/2008
Last updated
10/30/2008
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