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Individual

CINDY MONGRAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
53846 GENERATIONS DR, SOUTH BEND, IN 46635-1543
(574) 520-8016
Mailing address
809 RIVERSIDE CT APT 1C, SOUTH BEND, IN 46616-1602
(574) 520-8016

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
34009580A
IN

Other

Enumeration date
03/07/2007
Last updated
09/30/2022
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