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1598731747
JERALD D MORRIS
SOUTH BEND, IN
NPI
1598731747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34000436)
Enumeration Date
2006-02-27
Last Update Date
2010-09-27
Business Address
-- JERALD D MORRIS LCSW
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-533-1234
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Mailing Address
-- JERALD D MORRIS LCSW
330 LAKEVIEW DR
GOSHEN, IN 46528-9365
Phone number: 574-533-1234
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