Duddleson, Amanda Jane
Duddleson, Amanda Jane is an individual health care provider with primary practice located at 415 E Madison St , South Bend IN 46617-2322. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Duddleson, Amanda Jane can be contacted via phone (574) 280-1234.Contact Information
Primary practice address
415 E Madison St
South Bend IN 46617-2322
Phone: (574) 280-1234
Fax: (574) 280-4605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1841287950 |
|---|---|
| LBN Legal business name | Duddleson, Amanda Jane |
| Credentials | MSW, LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Mar 15th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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