CYNTHIA SUSAN FODNESS

SOUTH BEND, IN
NPI1184690786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364SP0808X Clinical Nurse Specialist, Psych/Mental Health
(Licence: IN  28123166A)
Enumeration Date2006-02-24
Last Update Date2007-07-08
Business Address
-- CYNTHIA SUSAN FODNESS CNS
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-234-0061
Mailing Address
-- CYNTHIA SUSAN FODNESS CNS
26164 TWIN LAKES TRL
SOUTH BEND, IN 46628-9537
Phone number: 574-273-8543