LAWRENCE CARLSON WILLOUGHBY

SOUTH BEND, IN
NPI1063488963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34002033A)
Enumeration Date2006-02-28
Last Update Date2010-09-28
Business Address
-- LAWRENCE CARLSON WILLOUGHBY LCSW
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-533-1234
Mailing Address
-- LAWRENCE CARLSON WILLOUGHBY LCSW
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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