Individual
CARRIE CONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
107 N EDDY ST, SOUTH BEND, IN 46617-2920
(574) 246-1036
Mailing address
810 N MAIN ST, GOSHEN, IN 46528-2633
(574) 350-6800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IN
Other
Enumeration date
04/12/2019
Last updated
06/11/2019
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