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1265664510
LISA BALDERAS
SOUTH BEND, IN
NPI
1265664510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2009-08-20
Last Update Date
2009-08-20
Business Address
-- LISA BALDERAS MA
611 LINCOLN WAY E
SOUTH BEND, IN 46601-3220
Phone number: 574-232-2255
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Mailing Address
-- LISA BALDERAS MA
611 LINCOLN WAY E
SOUTH BEND, IN 46601-3220
Phone number: 574-232-2255
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