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1043622798
SUSAN GAIL SANDOCK
SOUTH BEND, IN
NPI
1043622798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004026A)
Enumeration Date
2014-05-29
Last Update Date
2014-05-29
Business Address
Mrs. SUSAN GAIL SANDOCK LCSW
919 E JEFFERSON BLVD STE 401
SOUTH BEND, IN 46617-3117
Phone number: 574-287-4197
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Mailing Address
Mrs. SUSAN GAIL SANDOCK LCSW
919 E JEFFERSON BLVD STE 401
SOUTH BEND, IN 46617-3117
Phone number: 574-287-4197
Copy
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