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1538937628
BRIAN H DORTMUND
PORTAGE, IN
NPI
1538937628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 99122396A)
Enumeration Date
2023-12-18
Last Update Date
2023-12-18
Business Address
Mr. BRIAN H DORTMUND MSW
6050 STERLING CREEK RD
PORTAGE, IN 46368-7752
Phone number: 219-763-8112
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Mailing Address
Mr. BRIAN H DORTMUND MSW
105 S 7TH ST
CHESTERTON, IN 46304-2210
Phone number: 219-405-0614
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