AUSTIN LEE BLUE

SOUTH BEND, IN
NPI1679369904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: IN  33012493A)
Enumeration Date2025-04-15
Last Update Date2025-04-15
Business Address
AUSTIN LEE BLUE LSW
611 LINCOLN WAY E
SOUTH BEND, IN 46601-3212
Phone number: 574-360-4066
Mailing Address
AUSTIN LEE BLUE LSW
611 LINCOLN WAY E
SOUTH BEND, IN 46601-3212
Phone number: 574-360-4066