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1184893539
JILLIAN VANDENBERG
SOUTH BEND, IN
NPI
1184893539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IN 6801089375)
Enumeration Date
2008-02-29
Last Update Date
2008-02-29
Business Address
-- JILLIAN VANDENBERG MSW
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1107
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Mailing Address
-- JILLIAN VANDENBERG MSW
19506 BROWNSVILLE RD
CASSOPOLIS, MI 49031-8569
Phone number: 574-283-1107
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