JERRY E GUDORF

SOUTH BEND, IN
NPI1235106287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34002240)
Enumeration Date2006-03-08
Last Update Date2007-07-08
Business Address
-- JERRY E GUDORF LCSW
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-234-0061
Mailing Address
-- JERRY E GUDORF LCSW
6026 S BRIDGETON LN
SOUTH BEND, IN 46614-6364
Phone number: 574-291-9507
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